Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Jan 31;13(1):e13028.
doi: 10.7759/cureus.13028.

A Rare Presentation of Isolated Right Colon Ischemia: The Mass-Forming Variant

M'hamed Turki  1 , Anumita Chakraborti  2 , Saif Bella  3 , Amine Hila  3 , Ali Timsar  4
Affiliations
Case Reports

A Rare Presentation of Isolated Right Colon Ischemia: The Mass-Forming Variant

M'hamed Turki et al. Cureus. .

Abstract

Ischemic colitis (IC), the most common gastrointestinal ischemia, remains an enigmatic disease with a wide array of pathogenic mechanisms and injuries along with variable outcomes. Among this group, isolated right colon ischemia (IRCI) appears to be a distinct entity, with its own pathophysiology, clinical presentation, and higher morbidity and mortality compared to left-sided colitis. IRCI is the most common site of mass-forming ischemic colitis. Colonoscopy with biopsy remains the key to diagnosis for this former entity. IRCI management is the same as for other IC and complete resolution of the mass is expected within weeks.

Keywords: ischemic colitis; mass-like lesions in colon; right sided colon ischemia.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Axial view of a CT of the abdomen and pelvis with oral and intravenous contrast
Mass-like thickening of the proximal right colon near the ileocaecal valve, measuring 6.3 cm in length, involving the proximal aspect of the ascending colon and the adjacent cecum with adjacent fat stranding (Transparent red arrow).
Figure 2
Figure 2. Colonoscopy image, at the level of the cecum
A sample of the multiple 20 mm ulcers found in the cecum and ascending colon.
Figure 3
Figure 3. Axial view of a CT of the abdomen and pelvis with oral and intravenous contrast
An 8-cm cecal mass (Transparent blue arrow) with loss of the fat plane between the cecal mass and the anterior lateral right abdominal wall with possible invasion of the wall.
Figure 4
Figure 4. A colonoscopy image, at the level of the cecum
Multiple cecal ulcers (Blue arrows).
See this image and copyright information in PMC

References

    1. Endoscopic findings and clinicopathologic characteristics of ischemic colitis: a report of 85 cases. Zou X, Cao J, Yao Y, Liu W, Chen L. Dig Dis Sci. 2009;54:2009–2015. - PubMed
    1. Ischemic colitis has a worse prognosis when isolated to the right side of the colon. Sotiriadis J, Brandt LJ, Behin DS, Southern WN. Am J Gastroenterol. 2007;102:2247–2252. - PMC - PubMed
    1. Right-side colon ischemia: clinical features, large visceral artery occlusion, and long-term follow-up. Longstreth GF, Hye RJ. Perm J. 2015;19:11–16. - PMC - PubMed
    1. Is CT angiogram of the abdominal vessels needed following the diagnosis of ischemic colitis? A multicenter community study. Sherid M, Samo S, Sulaiman S, Husein H, Sethuraman SN, Vainder JA. ISRN Gastroenterol. 2014;2014:756926. - PMC - PubMed
    1. Clinical significance of colonoscopic findings associated with colonic thickening on computed tomography: is colonoscopy warranted when thickening is detected? Wolff JH, Rubin A, Potter JD, Lattimore W, Resnick MB, Murphy BL, Moss SF. J Clin Gastroenterol. 2008;42:472–475. - PubMed

Publication types

LinkOut - more resources