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- W2045981036 abstract "A 50-year-old alcoholic woman presented with periumbilical pain, mucoid diarrhoea, fever, and dysuria for 3 days. Abdominal ultrasonography showed thickening of the entire colonic wall. Abdominal MRI showed mucosal hypoperfusion confined to the descending colon without vascular thrombosis (figure A). Colonoscopy showed a diffuse greenish mucosa with numerous black spots; biopsy samples confirmed ischaemic colitis. Escherichia coli urosepsis with multi-organ dysfunction was diagnosed. 2 weeks later, after antibiotics and total parenteral nutrition administration, she excreted per anus a 120 cm tubular mucosa (figure B). Repeat colonoscopy showed a demucosed colon (figure C). She recovered uneventfully after conservative management. Colonic cast passage is a rare manifestation of ischaemic colitis. Our patient passed a colonic cast most likely because of mucosal infarction caused by urosepsis and disseminated intravascular coagulation with resultant diffuse microthrombi formation over the colonic microvasculature. Most patients require surgical resection of the involved segments because of conservative-treatment failure." @default.
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- W2045981036 date "2010-06-01" @default.
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- W2045981036 title "The passage of a colonic cast" @default.
- W2045981036 doi "https://doi.org/10.1016/s0140-6736(09)60299-3" @default.
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