A CASE OF STRICTURE-TYPE ISCHEMIC COLITIS

A 66-year-old male with stricture-type ischemic colitis was operated on for bowel obstruction due to descending colon stenosis. He was admitted complaining of sudden-onset of upper abdominal pain and melena. Plain X-ray film revealed bowel paralysis and leukocytosis was prominent on admission. Colon fluoroscopy showed rough mucosal surface with thumb-printing sign, and there was no malignant findings on the biopsy. In spite of conservative therapies for several weeks, severe descending colon stenosis reamined. Left hemicolectomy was done at 70th day after admission. The resected specimen showed a thickened bowel wall and marked irregularity of the mucosa accompanying by ulcers, and he was diagnosed as ischemic colitis microscopically.