Ischemic colitis

Case contributed by Michael P Hartung
Diagnosis probable

Presentation

Abdominal pain. Blood in stool.

Patient Data

Age: 70 years
Gender: Female
ct

Segmental colitis involving the distal transverse colon through the proximal sigmoid colon. There is colonic wall thickening, submucosal edema, and pericolonic inflammation. There is extensive atherosclerosis of the abdominal aorta and mesenteric vasculature. The inferior mesenteric artery is diminutive but patent.

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