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Semaglutide-Associated Ischemic Colitis in a Patient Without Traditional Risk Factors: A Case Report.
Cureus
February 2025
Internal Medicine, University of Medicine and Health Sciences, Basseterre, KNA.
This report describes the case of a 43-year-old female patient presenting with left lower quadrant pain and bloody diarrhea, initially managed as infectious colitis. Despite treatment, symptoms persisted, leading to repeat imaging showing mild pancolitis with colon mucosal hyperenhancement and wall thickening. Admission for intravenous hydration and subsequent colonoscopy revealed findings consistent with ischemic colitis.
View Article and Find Full Text PDFIschemic Colitis of the Ascending Colon Following Bowel Preparation with Oral Sulfate Solution.
Dig Dis Sci
March 2025
Senior Department of Gastroenterology, The First Medical Center of PLA General Hospital, Beijing, 100853, China.
[Incidentally discovered retroperitoneal unicentric Castleman disease during an ischemic colitis episode and diagnosed by computed tomography-guided needle biopsy: a case report].
Nihon Shokakibyo Gakkai Zasshi
March 2025
Department of Diagnostic Pathology, Kagawa Prefectural Central Hospital.
A 30-year-old female patient had an 8-cm retroperitoneal mass that was incidentally discovered during an abdominal computed tomography (CT) scan performed for diagnosing ischemic colitis, resulting in her referral to our hospital. A CT-guided needle biopsy was performed with a 20G needle, but the results were inconclusive. A 14G needle was used after weighing the benefits and harms, resulting in the diagnosis of a hyaline-vascular variant of Castleman disease.
View Article and Find Full Text PDFTwo Separate Small and Large Ischemic Bowel Events Secondary to Sigmoid Adenocarcinoma: A Case Report.
Surg J (N Y)
October 2024
Division of Critical Care, Department of Pulmonary Medicine and Critical Care Medicine, Mount Lebanon Hospital, University of Balamand, Beirut, Lebanon.
Colonic obstruction is reported in 85% of emergency colorectal surgery for cancer. Colonic ischemia, however, is a rare entity and is found in 5% of these emergency cases. We herein present the case of a 72-year-old man presenting with signs and symptoms of obstruction and was found to have an obstructive sigmoid cancer.
View Article and Find Full Text PDFHepatic portal venous gas associated with ischemic colitis: a case report.
Int J Emerg Med
February 2025
Emergency Department, Gansu Provincial Hospital, 204 Donggang West Road, Lanzhou, 730099, Gansu, China.
Background: Cases of Hepatic portal venous gas (HPVG) have been associated with high mortality rates and frequently require emergency exploratory laparotomy. However, the widespread utilization of computed tomography (CT) scans has revealed that HPVG is often connected to benign conditions, as demonstrated by numerous studies. Given the intricate nature of the underlying causes of HPVG, there remains a lack of consensus regarding the necessity of emergency surgical exploration for patients with HPVG.
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