Severe ischaemic colitis in a 16-year-old patient. A case report

Authors

  • JM García-Bruñén Servicio de Medicina Interna. Hospital Universitario Miguel Servet. Zaragoza. Spain
  • S García-López Servicio de Aparato Digestivo. Hospital Universitario Miguel Servet. Zaragoza. Spain
  • M Lázaro Servicio de Aparato Digestivo. Hospital Universitario Miguel Servet. Zaragoza. Spain
  • A Artal Servicio de Aparato Digestivo. Hospital Universitario Miguel Servet. Zaragoza. Spain
  • J Gotor Servicio de Aparato Digestivo. Hospital Universitario Miguel Servet. Zaragoza. Spain

Keywords:

ischemic colitis, NSAIDs

Abstract

Clinical presentation. A 16-year-old woman came due to a moderate-intensity-hypogastric pain on left iliac fossa with approximately a 48 hour evolution, accompanied by diarrhea with limited traces of blood. She was previously treated with non-steroidal anti-inflammatory drugs (NSAIDs) and cold relievers, no other clinical records.

Ancillary testing. Leukocytosis with neutrophilia, elevated acute phase reactants and severe ischemic colitis confirmed by biopsy.

Diagnosis. Secondary ischemic colitis caused by NSAIDs.

Discussion. Unusual case of ischemic colitis in young patient with no medical records except taking ibuprofen and symptomatic treatment for influenza a few days before. Infectious or inflammatory etiology was not proven.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Brandt LJ, Feuerstadt P, Longstreth GF, Boley SJ; American College of Gas- troenterology. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI). Am J Gastroenterol. 2015 Jan; 110(1): 18-44. doi: https://doi.org/10.1038/ajg.2014.395.

O'Neill S, Yalamarthi S. Systematic review of the management of ischaemic colitis. Colorectal Dis. 2012 Nov; 14(11): e751-63.

Longstreth GF, Yao JF. Diseases and drugs that increase risk of acute large bowel ischemia. Clin Gastroenterol Hepatol. 2010; 8(1): 49.

Montoro MA, Brandt LJ, Santolaria S, Gomollon F, Sánchez Puértolas B, Vera J, et al; Workgroup for the Study of Ischaemic Colitis of the Spanish Gastroenterological Association (GTECIE-AEG). Clinical patterns and outcomes of ischaemic colitis: results of the Working Group for the Study of Ischaemic Colitis in Spain (CIE study). Scand J Gastroenterol. 2011 Feb; 46(2): 236-246. doi: https://doi.org/10.3109/00365521.2010.525794.

Montoro MA, Santolaria S. Planteamiento diagnóstico de la colitis isquémica. Gastroenterol Hepatol. 2006; 29(10): 636-46.

Gezer S. Antiphospholipid syndrome. Dis Mon. 2003 Dec; 49(12): 696-741.

Downloads

Published

2016-06-30

How to Cite

1.
García-Bruñén J, García-López S, Lázaro M, Artal A, Gotor J. Severe ischaemic colitis in a 16-year-old patient. A case report. Rev Esp Casos Clin Med Intern [Internet]. 2016 Jun. 30 [cited 2024 Dec. 26];1:26-8. Available from: https://www.reccmi.com/RECCMI/article/view/755

Issue

Vol. 1 (2016): Vol. 1. Núm. 0. Junio 2016. Revista Española de Casos Clínicos en Medicina Interna

Section

CLINICAL CASES

License

Copyright (c) 2016 JM García-Bruñén, S García-López, M Lázaro, A Artal, J Gotor

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:

Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.

No comercial: no puede utilizar el material con fines comerciales.

No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.

Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.