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Gangrenous ischemic colitis localized to the cecum: a case report

BACKGROUND: Ischemic colitis affects the left colon in elderly individuals and localization on the right side, especially in the cecum, is rare. We report a case of gangrenous ischemic colitis localized in the cecum of a patient undergoing hemodialysis. CASE PRESENTATION: A 73-year-old man had been...

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Autores principales: Tateno, Kohei, Motegi, Yoko, Ogawa, Hiroomi, Suga, Kunihiko, Okada, Takuhisa, Osone, Katsuya, Katoh, Ryuji, Ubukata, Yasunari, Saito, Hideyuki, Hara, Keigo, Sakai, Makoto, Ogata, Kyoichi, Sohda, Makoto, Murakami, Chiaki, Shirabe, Ken, Saeki, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871088/
https://www.ncbi.nlm.nih.gov/pubmed/36689043
http://dx.doi.org/10.1186/s40792-023-01587-x
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author Tateno, Kohei
Motegi, Yoko
Ogawa, Hiroomi
Suga, Kunihiko
Okada, Takuhisa
Osone, Katsuya
Katoh, Ryuji
Ubukata, Yasunari
Saito, Hideyuki
Hara, Keigo
Sakai, Makoto
Ogata, Kyoichi
Sohda, Makoto
Murakami, Chiaki
Shirabe, Ken
Saeki, Hiroshi
author_facet Tateno, Kohei
Motegi, Yoko
Ogawa, Hiroomi
Suga, Kunihiko
Okada, Takuhisa
Osone, Katsuya
Katoh, Ryuji
Ubukata, Yasunari
Saito, Hideyuki
Hara, Keigo
Sakai, Makoto
Ogata, Kyoichi
Sohda, Makoto
Murakami, Chiaki
Shirabe, Ken
Saeki, Hiroshi
author_sort Tateno, Kohei
collection PubMed
description BACKGROUND: Ischemic colitis affects the left colon in elderly individuals and localization on the right side, especially in the cecum, is rare. We report a case of gangrenous ischemic colitis localized in the cecum of a patient undergoing hemodialysis. CASE PRESENTATION: A 73-year-old man had been undergoing hemodialysis for chronic renal failure caused by diabetic nephropathy. He experienced frequent vomiting, diarrhea, and abdominal pain. Contrast-enhanced computed tomography revealed thickening of the cecal wall, poor enhancement, dilation of the cecum, and intrahepatic portal emphysema. No obvious abnormal findings were observed in the appendix. The patient was diagnosed with cecal necrosis and ileocecal resection was performed. Histopathological examination revealed gangrenous ischemic colitis of the cecum. He was discharged 12 days after surgery without postoperative complications. CONCLUSION: It is important to consider the possibility of ischemic colitis of the right colon in the event of renal failure requiring dialysis, to ensure that opportunities for surgical intervention are not missed.
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spelling pubmed-98710882023-01-25 Gangrenous ischemic colitis localized to the cecum: a case report Tateno, Kohei Motegi, Yoko Ogawa, Hiroomi Suga, Kunihiko Okada, Takuhisa Osone, Katsuya Katoh, Ryuji Ubukata, Yasunari Saito, Hideyuki Hara, Keigo Sakai, Makoto Ogata, Kyoichi Sohda, Makoto Murakami, Chiaki Shirabe, Ken Saeki, Hiroshi Surg Case Rep Case Report BACKGROUND: Ischemic colitis affects the left colon in elderly individuals and localization on the right side, especially in the cecum, is rare. We report a case of gangrenous ischemic colitis localized in the cecum of a patient undergoing hemodialysis. CASE PRESENTATION: A 73-year-old man had been undergoing hemodialysis for chronic renal failure caused by diabetic nephropathy. He experienced frequent vomiting, diarrhea, and abdominal pain. Contrast-enhanced computed tomography revealed thickening of the cecal wall, poor enhancement, dilation of the cecum, and intrahepatic portal emphysema. No obvious abnormal findings were observed in the appendix. The patient was diagnosed with cecal necrosis and ileocecal resection was performed. Histopathological examination revealed gangrenous ischemic colitis of the cecum. He was discharged 12 days after surgery without postoperative complications. CONCLUSION: It is important to consider the possibility of ischemic colitis of the right colon in the event of renal failure requiring dialysis, to ensure that opportunities for surgical intervention are not missed. Springer Berlin Heidelberg 2023-01-23 /pmc/articles/PMC9871088/ /pubmed/36689043 http://dx.doi.org/10.1186/s40792-023-01587-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Tateno, Kohei
Motegi, Yoko
Ogawa, Hiroomi
Suga, Kunihiko
Okada, Takuhisa
Osone, Katsuya
Katoh, Ryuji
Ubukata, Yasunari
Saito, Hideyuki
Hara, Keigo
Sakai, Makoto
Ogata, Kyoichi
Sohda, Makoto
Murakami, Chiaki
Shirabe, Ken
Saeki, Hiroshi
Gangrenous ischemic colitis localized to the cecum: a case report
title Gangrenous ischemic colitis localized to the cecum: a case report
title_full Gangrenous ischemic colitis localized to the cecum: a case report
title_fullStr Gangrenous ischemic colitis localized to the cecum: a case report
title_full_unstemmed Gangrenous ischemic colitis localized to the cecum: a case report
title_short Gangrenous ischemic colitis localized to the cecum: a case report
title_sort gangrenous ischemic colitis localized to the cecum: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871088/
https://www.ncbi.nlm.nih.gov/pubmed/36689043
http://dx.doi.org/10.1186/s40792-023-01587-x
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