위험인자가 없는 환자에게 발생한 대장 내시경에 의한 우측 허혈성 대장염 1예
A case of colonoscopy-induced right-sided ischemic colitis in a patient with no risk factor
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저자 등은 평소 특별한 위험인자가 없었던 41세 여자 환자로 대장 내시경 시행 후 갑자기 발생한 혈변 및 우하복부 통증을 주소로 응급실에 내원하여 대장 내시경 및 복부 CT를 통해 대장 내시경에 의해 발생한 우측 대장의 허혈성 대장염으로 진단하고 금식 및 수액 공급 등의 보존적 치료로 회복된 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Ischemic colitis is the most common form of intestinal ischemia. Although there are a variety of causes, the most common mechanism is acute, self‐limited compromise in intestinal blood flow. Most cases of ischemic colitis are transient and resolve spontaneously, but right colon involvement is associated with poor outcome. Colonoscopy is the gold standard for the identification of colonic ischemia; however, very rarely, colonoscopy itself may induce ischemic colitis in patients with underlying predisposing factors, such as connective tissue disorders. We experienced a case of ischemic colitis of the right colon, following colonoscopy in a patient without risk factors.
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