Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam
Ischemic colitis (IC) is an underreported chronic disease characterized by the hypoperfusion of the bowel mucosa. The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the...
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| Veröffentlicht in: | The Korean journal of gastroenterology 2022-08, Vol.80 (2), p.93 |
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| container_title | The Korean journal of gastroenterology |
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| creator | Tien Manh Huynh Quang Dinh Le Khanh Lan Nguyen Bui Minh Quang Huynh Bui Cong Minh Hong Vo Duc Trong Quach |
| description | Ischemic colitis (IC) is an underreported chronic disease characterized by the hypoperfusion of the bowel mucosa. The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the diversity of IC manifestation. A 68-year-old man with several comorbidities was admitted because of abdominal pain with a 6-month duration and a mass in the left lower quadrant. Colonoscopy revealed erosive pseudomembranous colitis narrowed colon segments with ulcerated mucosa mimicking colorectal cancer and inflammatory bowel disease. The stool cultures and Clostridium difficile toxin tests were negative. After the failure of conservative therapy, the Hartmann procedure with temporary ileostomy was performed uneventfully. The histological results of the surgical specimens revealed IC with focal pseudomembranous areas. (Korean J Gastroenterol 2022;80:93-98) |
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The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the diversity of IC manifestation. A 68-year-old man with several comorbidities was admitted because of abdominal pain with a 6-month duration and a mass in the left lower quadrant. Colonoscopy revealed erosive pseudomembranous colitis narrowed colon segments with ulcerated mucosa mimicking colorectal cancer and inflammatory bowel disease. The stool cultures and Clostridium difficile toxin tests were negative. After the failure of conservative therapy, the Hartmann procedure with temporary ileostomy was performed uneventfully. The histological results of the surgical specimens revealed IC with focal pseudomembranous areas. 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The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the diversity of IC manifestation. A 68-year-old man with several comorbidities was admitted because of abdominal pain with a 6-month duration and a mass in the left lower quadrant. Colonoscopy revealed erosive pseudomembranous colitis narrowed colon segments with ulcerated mucosa mimicking colorectal cancer and inflammatory bowel disease. The stool cultures and Clostridium difficile toxin tests were negative. After the failure of conservative therapy, the Hartmann procedure with temporary ileostomy was performed uneventfully. The histological results of the surgical specimens revealed IC with focal pseudomembranous areas. (Korean J Gastroenterol 2022;80:93-98)</description><subject>Colitis</subject><subject>Collective neoplasm</subject><subject>Enterocolitis</subject><subject>Inflammatory bowel diseases</subject><subject>ischemic</subject><subject>pseudomembranous</subject><subject>Vietnam</subject><issn>1598-9992</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9irEOgjAUADtoIlG-wOX9AAmKCHUzRKObg7KSAo_4Im1JXxn4ex10dbpc7mYi2KQyj6SU24UImamO0zhLdlkuA1FeuXmipgYK25MnhptDRuOxBfURxrG1GnXtlLEj_64DHA08jJ8GalQPhWKEzlkNJaE3Sq_EvFM9Y_jlUqzPp3txiV7EXA2OtHJTlch9KrNt8r--ATOGO9I</recordid><startdate>20220831</startdate><enddate>20220831</enddate><creator>Tien Manh Huynh</creator><creator>Quang Dinh Le</creator><creator>Khanh Lan Nguyen Bui</creator><creator>Minh Quang Huynh Bui</creator><creator>Cong Minh Hong Vo</creator><creator>Duc Trong Quach</creator><general>대한소화기학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>20220831</creationdate><title>Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam</title><author>Tien Manh Huynh ; Quang Dinh Le ; Khanh Lan Nguyen Bui ; Minh Quang Huynh Bui ; Cong Minh Hong Vo ; Duc Trong Quach</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kiss_primary_39659723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2022</creationdate><topic>Colitis</topic><topic>Collective neoplasm</topic><topic>Enterocolitis</topic><topic>Inflammatory bowel diseases</topic><topic>ischemic</topic><topic>pseudomembranous</topic><topic>Vietnam</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tien Manh Huynh</creatorcontrib><creatorcontrib>Quang Dinh Le</creatorcontrib><creatorcontrib>Khanh Lan Nguyen Bui</creatorcontrib><creatorcontrib>Minh Quang Huynh Bui</creatorcontrib><creatorcontrib>Cong Minh Hong Vo</creatorcontrib><creatorcontrib>Duc Trong Quach</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>The Korean journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tien Manh Huynh</au><au>Quang Dinh Le</au><au>Khanh Lan Nguyen Bui</au><au>Minh Quang Huynh Bui</au><au>Cong Minh Hong Vo</au><au>Duc Trong Quach</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam</atitle><jtitle>The Korean journal of gastroenterology</jtitle><addtitle>대한소화기학회지</addtitle><date>2022-08-31</date><risdate>2022</risdate><volume>80</volume><issue>2</issue><spage>93</spage><pages>93-</pages><issn>1598-9992</issn><abstract>Ischemic colitis (IC) is an underreported chronic disease characterized by the hypoperfusion of the bowel mucosa. The diagnosis and treatment may be challenging because its clinical course resembles other colitis or even colorectal malignancies. This paper reports an untypical case to underline the diversity of IC manifestation. A 68-year-old man with several comorbidities was admitted because of abdominal pain with a 6-month duration and a mass in the left lower quadrant. Colonoscopy revealed erosive pseudomembranous colitis narrowed colon segments with ulcerated mucosa mimicking colorectal cancer and inflammatory bowel disease. The stool cultures and Clostridium difficile toxin tests were negative. After the failure of conservative therapy, the Hartmann procedure with temporary ileostomy was performed uneventfully. The histological results of the surgical specimens revealed IC with focal pseudomembranous areas. (Korean J Gastroenterol 2022;80:93-98)</abstract><pub>대한소화기학회</pub><tpages>6</tpages></addata></record> |
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| ispartof | The Korean journal of gastroenterology, 2022-08, Vol.80 (2), p.93 |
| issn | 1598-9992 |
| language | kor |
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| source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals |
| subjects | Colitis Collective neoplasm Enterocolitis Inflammatory bowel diseases ischemic pseudomembranous Vietnam |
| title | Ischemic Colitis Presented as Pseudomembranous Colitis: An Untypical Case from Vietnam |
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