A Case of Colonic Ischaemia Masquerading as a Colonic Mass

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Author Info

K. Van Der Merwe O. Fagan P. Armstrong D. Crosnoi C. Steele P. O’Keeffe K. Dillon Vikrant Parihar

Corresponding Author

Vikrant Parihar
Department of Gastroenterology, Letterkenny University Hospital, Letterkenny, Co. Donegal, Ireland

A B S T R A C T

Intestinal ischaemia is an uncommon vascular syndrome resulting from an acute or chronic drop in blood supply to the bowel, with varied clinical presentations. Intestinal ischaemia can present similarly to other conditions, leaving the clinician with a diagnostic dilemma. In this case report, we present a 69-year-old male who presented with abdominal pain, distention, anorexia and per rectal bleeding. Endoscopy showed a left-sided mass-like, ulcerated lesion, endoscopically thought to be colonic carcinoma. Histology later revealed this mass to be intestinal ischaemia, with no features of invasive carcinoma. This was confirmed at an interval endoscopy, which showed a largely healed mucosa and nil evidence of a mass. Raising awareness of this disease and its ability to mimic other presentations, both clinically and endoscopically, is key to establishing an early diagnosis and intervention.

Article Info

Article Type

Case Report

Publication history

Received: Thu 24, Sep 2020
Accepted: Fri 16, Oct 2020
Published: Mon 26, Oct 2020

Copyright

© 2023 Vikrant Parihar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.10.14