USMF logo

Institutional Repository in Medical Sciences
of Nicolae Testemitanu State University of Medicine and Pharmacy
of the Republic of Moldova
(IRMS – Nicolae Testemitanu SUMPh)

Biblioteca Stiintifica Medicala
DSpace

University homepage  |  Library homepage

 
 
Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/20066
Full metadata record
DC FieldValueLanguage
dc.contributor.authorBursuc, Stefana-Cristina
dc.contributor.authorMacsim, Lucian
dc.date.accessioned2022-02-10T10:00:11Z
dc.date.available2022-02-10T10:00:11Z
dc.date.issued2010
dc.identifier.citationBURSUC, Stefana-Cristina, MACSIM, Lucian. Ischemic colitis. Case report. In: MedEspera: the 3rd Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2010, pp. 60-61.en_US
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/20066
dc.description.abstractIschemic colitis is very rare in Romania; there are difficulties in diagnosis and surgical treatment, and the late diagnosis in advanced cases causes a high rate of mortality. Reduced blood flow in the large bowel may lead to different pathologies from complete reversible injuries to total ischemic necrosis of the large bowel. Elder patients, atherosclerosis, inferior mesenteric artery thrombosis, cardiac arrhythmias, aneurisms of the abdominal aorta etc predispose to ischemic colitis. Case: A 73-year old woman presented with melena, diffuse abdominal pain, nausea and vomiting. Laboratory evaluation revealed a WBC of 20,900/ mm3, glicaemia of 194mg/dl, without other abnormalities. Plain abdominal radiography and abdominal ultrasound were normal. Emergency exploratory laparotomy revealed a rubbery hard colon, without the normal aspect of haustrations, feeling like a parenchimatous organ, from the left colic angle to the recto-sigmoid jonction. The dissection of the origin of the inferior mezenteric artery proved its complete thrombosis. There was performed a left hemicolectomy with terminal colostomy on the transverse colon. Postoperative course was uneventful. Nine months after the first operation, the continuity of the digestive tract was restored by a colo-rectal anastomosis, without any problems. Conclusions: We present a rare case of abdominal surgery in our country that needs to be identified early in order to be treated succesfully. It is very important to include ischemic colitis in the differential diagnossis of the abdominal pain syndrome in elder pacients and also in surgeries was we suspect the necrossis of some parts of the large bowel. Not knowing the gravity of the clinical signs and late diagnosis may lead to masive bacterial invasion, toxic ischemic products into the blood stream that eventualy lead to a severe septic shock.en_US
dc.language.isoenen_US
dc.publisherNicolae Testemitanu State Medical and Pharmaceutical Universityen_US
dc.relation.ispartofMedEspera: The 3rd International Medical Congress for Students and Young Doctors, May 19-21, 2010, Chisinau, Republic of Moldovaen_US
dc.titleIschemic colitis. Case reporten_US
dc.typeOtheren_US
Appears in Collections:MedEspera 2010

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2013  Duraspace - Feedback