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01-06-2013 | Case Report

Ischemic colitis due to a dissecting aneurysm of the superior rectal artery

Authors: H.-P. Liu, M.-H. Chew, K.-S. Ho, C.-L. Tang

Published in: Techniques in Coloproctology | Issue 3/2013

Abstract

Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior rectal artery (SRA) aneurysm. Colonoscopy showed non-resolving colitis complicated by sigmoid stricture. CT angiogram with 3D reconstruction showed a dissecting SRA aneurysm measuring 2 cm by 1.2 cm by 1.3 cm. The patient underwent laparoscopic-assisted low anterior resection, which was converted to open because of adhesions and made a full recovery.

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Title: Ischemic colitis due to a dissecting aneurysm of the superior rectal artery
Authors: H.-P. Liu
M.-H. Chew
K.-S. Ho
C.-L. Tang
Publication date: 01-06-2013
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue 3/2013
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-011-0712-6

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Ischemic colitis due to a dissecting aneurysm of the superior rectal artery

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