TY - JOUR
AR - SCR-2020-10-114
TI - A Case of Colonic Ischaemia Masquerading as a Colonic Mass
AU - K. Van , Der Merwe
AU - O. , Fagan
AU - P. , Armstrong
AU - D. , Crosnoi
AU - C. , Steele
AU - P. , O’Keeffe
AU - K. , Dillon
AU - Vikrant,  Parihar
JO - Surgical Case Reports
PY - 2020
DA - Mon 26, Oct 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.10.14
UR - https://www.sciencerepository.org/a-case-of-colonic-ischaemia-masquerading-as-a-colonic-mass_SCR-2020-10-114 
KW - Intestinal ischaemia, colonic carcinoma, abdominal pain, endoscopy, ischaemic colitis, colonic ischaemia
AB - 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.