Colonoscopy induced ischemic colitis: An endoscopic and histological assay

•What is already known?Diagnostic Colonoscopy is a safe day-care procedure.•What are the findings of this study?This case report highlights the rare occurrence of ischemic colitis immediately following routine diagnostic colonoscopy.•What are the future implications of this study?Endoscopists must be aware of this condition and take necessary precautions to avoid this rare complication, even in a routine diagnostic colonoscopy. Colonoscopy is a safe and effective diagnostic modality for various ileo-colonic diseases. Though the procedure itself is a rare cause of ischaemic colitis. Fewer than 30 cases of ischaemic colitis caused by colonoscopy procedure have been reported in the literature to date. The colon is susceptible to ischemia due to its minor blood flow compared to other organs in the abdomen. The etiology of colon ischemia after colonoscopy is multifactorial. Endoscopists must be aware of this condition and its risk factors for risk minimization, early diagnosis and proper treatment.