A CASE OF ISCHEMIC COLITIS OCCURRED AS ILEUS 19 MONTHS AFTER REPAIR FOR AN ABDOMINAL AORTIC ANEURYSM

A 66-year-old woman was admitted to the hospital for low abdominal pain and vomiting in July 1998. She had undergone graft repair for abdominal aortic aneurysm in February 1997. Colonoscopy and a barium enema study revealed a whole circumferential stricture of the sigmoid colon. She was treated conservatively for two months, but her symptoms did not disappear. Therefore, low anterior resection was performed in September 1998. On histological examination, the specimen showed necrosis and fibrosis with ischemic colitis, but no malignant change. Thereafter, her right thigh was amputated for necrosis due to arteriosclerosis obliterans in December 1998, and she was discharged from the hospital subsequently. We report this case together with a review of the literature.