Ischemic Colitis during Pregnancy and Contraceptive Medication
Ischemic bowel disease is generally considered a disease of the elderly and usually consists of reversible colopathy. Nonocclusive causes of ischemic colitis include low-flow states due to cardiac dysfunction and hypovolemia and use of certain medications including progestational medication. We repo...
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Veröffentlicht in: | Digestion 2001-01, Vol.64 (2), p.125-127 |
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creator | Frossard, Jean Louis Spahr, Laurent Queneau, Pierre Edouard Armenian, Berj Bründler, Marie-Anne Hadengue, Antoine |
description | Ischemic bowel disease is generally considered a disease of the elderly and usually consists of reversible colopathy. Nonocclusive causes of ischemic colitis include low-flow states due to cardiac dysfunction and hypovolemia and use of certain medications including progestational medication. We report 2 cases of ischemic colitis in young women. The first one occurred in a young patient who developed three consecutive episodes of ischemic colitis during her pregnancy, whereas the second woman presented with ischemic colitis in relation with the estrogen use. Each episode had a favorable outcome. Having ruled out an infectious cause, or a low blood flow state and in the absence of known thrombogenic disease, we hypothesized the etiology of these ischemic episodes to a high level of circulating estrogens due to pregnancy in the first case and oral contraceptive medication in the second. Physicians treating hemorrhagic colitis in young women should consider the use of contraceptive medication containing estrogens or pregnancy as possible causes. |
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Nonocclusive causes of ischemic colitis include low-flow states due to cardiac dysfunction and hypovolemia and use of certain medications including progestational medication. We report 2 cases of ischemic colitis in young women. The first one occurred in a young patient who developed three consecutive episodes of ischemic colitis during her pregnancy, whereas the second woman presented with ischemic colitis in relation with the estrogen use. Each episode had a favorable outcome. Having ruled out an infectious cause, or a low blood flow state and in the absence of known thrombogenic disease, we hypothesized the etiology of these ischemic episodes to a high level of circulating estrogens due to pregnancy in the first case and oral contraceptive medication in the second. Physicians treating hemorrhagic colitis in young women should consider the use of contraceptive medication containing estrogens or pregnancy as possible causes.</description><identifier>ISSN: 0012-2823</identifier><identifier>EISSN: 1421-9867</identifier><identifier>DOI: 10.1159/000048851</identifier><identifier>PMID: 11684827</identifier><identifier>CODEN: DIGEBW</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Biological and medical sciences ; Case Report ; Colitis, Ischemic - blood ; Colitis, Ischemic - etiology ; Colitis, Ischemic - pathology ; Colon - blood supply ; Colon - drug effects ; Colon - pathology ; Contraceptives, Oral, Hormonal - adverse effects ; Contraceptives, Oral, Hormonal - blood ; Estrogens - adverse effects ; Estrogens - blood ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Medical sciences ; Other diseases. Semiology ; Pregnancy ; Pregnancy Complications - blood ; Stomach. Duodenum. 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Karger AG 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-71ae718e0c0bad97f2462bc5250472738899275214dd3dc1c40c9e3f587bb7233</citedby><cites>FETCH-LOGICAL-c385t-71ae718e0c0bad97f2462bc5250472738899275214dd3dc1c40c9e3f587bb7233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14092093$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11684827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frossard, Jean Louis</creatorcontrib><creatorcontrib>Spahr, Laurent</creatorcontrib><creatorcontrib>Queneau, Pierre Edouard</creatorcontrib><creatorcontrib>Armenian, Berj</creatorcontrib><creatorcontrib>Bründler, Marie-Anne</creatorcontrib><creatorcontrib>Hadengue, Antoine</creatorcontrib><title>Ischemic Colitis during Pregnancy and Contraceptive Medication</title><title>Digestion</title><addtitle>Digestion</addtitle><description>Ischemic bowel disease is generally considered a disease of the elderly and usually consists of reversible colopathy. Nonocclusive causes of ischemic colitis include low-flow states due to cardiac dysfunction and hypovolemia and use of certain medications including progestational medication. We report 2 cases of ischemic colitis in young women. The first one occurred in a young patient who developed three consecutive episodes of ischemic colitis during her pregnancy, whereas the second woman presented with ischemic colitis in relation with the estrogen use. Each episode had a favorable outcome. Having ruled out an infectious cause, or a low blood flow state and in the absence of known thrombogenic disease, we hypothesized the etiology of these ischemic episodes to a high level of circulating estrogens due to pregnancy in the first case and oral contraceptive medication in the second. Physicians treating hemorrhagic colitis in young women should consider the use of contraceptive medication containing estrogens or pregnancy as possible causes.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Colitis, Ischemic - blood</subject><subject>Colitis, Ischemic - etiology</subject><subject>Colitis, Ischemic - pathology</subject><subject>Colon - blood supply</subject><subject>Colon - drug effects</subject><subject>Colon - pathology</subject><subject>Contraceptives, Oral, Hormonal - adverse effects</subject><subject>Contraceptives, Oral, Hormonal - blood</subject><subject>Estrogens - adverse effects</subject><subject>Estrogens - blood</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - blood</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - blood</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Nonocclusive causes of ischemic colitis include low-flow states due to cardiac dysfunction and hypovolemia and use of certain medications including progestational medication. We report 2 cases of ischemic colitis in young women. The first one occurred in a young patient who developed three consecutive episodes of ischemic colitis during her pregnancy, whereas the second woman presented with ischemic colitis in relation with the estrogen use. Each episode had a favorable outcome. Having ruled out an infectious cause, or a low blood flow state and in the absence of known thrombogenic disease, we hypothesized the etiology of these ischemic episodes to a high level of circulating estrogens due to pregnancy in the first case and oral contraceptive medication in the second. Physicians treating hemorrhagic colitis in young women should consider the use of contraceptive medication containing estrogens or pregnancy as possible causes.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11684827</pmid><doi>10.1159/000048851</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Case Report Colitis, Ischemic - blood Colitis, Ischemic - etiology Colitis, Ischemic - pathology Colon - blood supply Colon - drug effects Colon - pathology Contraceptives, Oral, Hormonal - adverse effects Contraceptives, Oral, Hormonal - blood Estrogens - adverse effects Estrogens - blood Female Gastroenterology. Liver. Pancreas. Abdomen Humans Medical sciences Other diseases. Semiology Pregnancy Pregnancy Complications - blood Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
title | Ischemic Colitis during Pregnancy and Contraceptive Medication |
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