A Case of Colonic Ischaemia Masquerading as a Colonic Mass

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments: The case description is adequate. The Discussion section presents the clinical manifestations of colonic ischaemia mimicking the endoscopic features of inflammatory bowel disease and colorectal carcinoma. It also discusses the useful diagnostic methods and possible treatment approaches after the detection of the ulcerated lesion. A high index of suspicion and early diagnosis of this mass forming entity are essential to prevent the relevant risk factors and give rise to better outcome.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Excellent

Writing style

Q: Is it clear and understandable?

A: Good

Comments: In the title of the article, the word “ischaemic” should be replaced with “ischaemia”.

Further comments on the paper

Comments: This case report presents a case of a 69-year-old Caucasian male with symptoms of cramping abdominal pain, distention, anorexia and per rectal bleeding for the preceding four days. He had a history of ischaemic heart disease, chronic obstructive lung disease, hypothyroidism with smoking habit and alcohol consumption. The ability of ischaemic colitis to mimic the clinical presentations of inflammatory bowel disease or colorectal carcinoma challenges the diagnostic methods. The left-sided mass-like ulcerated lesion found in this study, turned out to be ischaemic colitis with no features of invasive carcinoma after endoscopy and histological examination. The distinction between this type of colitis and malignancy is challenging because misdiagnosis of cancer may give rise to severe complications. Increased awareness and early differentiation of intestinal ischaemia from colonic carcinoma are necessary for correct diagnosis and appropriate treatment.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team