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A case of ischemic colitis with skip lesions which was difficult to differentiate from cancer endoscopically



A case of ischemic colitis with skip lesions which was difficult to differentiate from cancer endoscopically



Gastroenterological Endoscopy 33(8): 1737-1743



The patient was a 73-year-old woman who was admitted to our hospital because of melena and abdominal pain. Endoscopy performed on the third day after the onset of the symptoms revealed localized skip lesions located in the transverse colon and ascending colon. The lesion in the transverse colon was a hemicyclic and protuberant one with a large ulcer on the top, while the lesion in the ascending colon was a cyclic and protuberant one with hyperemia. Both lesions were diagnosed as colon cancer. On the seventh day after onset, the contrast enema was done; the lesion in the ascending colon showed an apple core-like with constriction, while the lesion in the transverse colon showed a unilateral, large filling defect, and the same diagnosis of colon cancer was made. A surgical operation conducted on the 10th day after onset revealed only shallow ulcerative lesions, which were histologically diagnosed as ischemic colitis. This case was reported since the sites of lesions and the endoscopic features were rare.

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