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Case Reports
. 2020 Apr 18;12(4):e7720.
doi: 10.7759/cureus.7720.

Fulminant Ischemic Pancolitis: A Severe Variant of Ischemic Colitis

Anupam K Gupta  1 , Oscar A Vazquez  1 , Monica I Burgos  2 , Jessica Buicko  3 , Miguel Lopez-Viego  4
Affiliations
Case Reports

Fulminant Ischemic Pancolitis: A Severe Variant of Ischemic Colitis

Anupam K Gupta et al. Cureus. .

Abstract

We present the case of a 75-year-old female with abdominal pain and a sudden change in mental status. She progressed rapidly with manifestations of acidosis without episodes of bloody bowel movements or diarrhea. The patient underwent emergent exploratory laparotomy, and a diagnosis of fulminant ischemic pancolitis was made with visual confirmation of infarcted colon from cecum to proximal rectum leading to subtotal colectomy and ileostomy. Postoperatively, the patient showed improved acidosis and mental status; unfortunately, over the subsequent days, the patient declined and was transferred to hospice and palliative care.

Keywords: colitis; gastroenterology; general surgery; geriatrics; surgery.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT scan showing loaded colon with fecal matter
CT, computed tomography
Figure 2
Figure 2. CT scan showing loaded sigmoid colon
CT, computed tomography
Figure 3
Figure 3. Ischemic areas extending from cecum to proximal rectum (fulminant ischemic colitis)
See this image and copyright information in PMC

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