Abstract
A 29 year old woman is reported with bloody diarrhoea three hours after developing anaphylactoid shock. Sigmoidoscopy, barium enema, and histology showed rectal and colonic ischaemia to the splenic flexure. Recovery was complete. There was no history of vascular disease but the patient was taking an oral contraceptive. Thirty one other cases of spontaneous ischaemic proctitis are reviewed.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Andersson R., Uvelius B., Willén R. Transient ischemic colitis. Case report. Acta Chir Scand. 1987 Feb;153(2):151–153. [PubMed] [Google Scholar]
- Byrd R. L., Cunningham M. W., Goldman L. I. Nonocclusive ischemic colitis secondary to hemorrhagic shock. Dis Colon Rectum. 1987 Feb;30(2):116–118. doi: 10.1007/BF02554948. [DOI] [PubMed] [Google Scholar]
- CARTER R., VANNIX R., HINSHAW D. B., STAFFORD C. E. Inferior mesenteric vascular occlusion: sigmoidoscopic diagnosis. Surgery. 1959 Nov;46:845–846. [PubMed] [Google Scholar]
- Church J. M., Raudkivi P. J., Hill G. L. The surgical anatomy of the rectum--a review with particular relevance to the hazards of rectal mobilisation. Int J Colorectal Dis. 1987 Aug;2(3):158–166. doi: 10.1007/BF01648000. [DOI] [PubMed] [Google Scholar]
- Curr J. F. Rectal stricture due to ischaemia following ruptured ectopic gestation. Gut. 1967 Apr;8(2):178–179. doi: 10.1136/gut.8.2.178. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duffy T. J. Reversible ischaemic colitis in young adults. Br J Surg. 1981 Jan;68(1):34–37. doi: 10.1002/bjs.1800680110. [DOI] [PubMed] [Google Scholar]
- Fisher M. M., Baldo B. A. Acute anaphylactic reactions. Med J Aust. 1988 Jul 4;149(1):34–38. doi: 10.5694/j.1326-5377.1988.tb120481.x. [DOI] [PubMed] [Google Scholar]
- Ganchrow M. I., Clark J. F., Ferguson J. A. Ischemic proctitis with obliterative vascular change: report of a case. Dis Colon Rectum. 1970 Nov-Dec;13(6):470–474. doi: 10.1007/BF02616796. [DOI] [PubMed] [Google Scholar]
- Hagihara P. F., Parker J. C., Griffen W. O., Jr Spontaneous ischemic colitis. Dis Colon Rectum. 1977 Apr;20(3):236–251. doi: 10.1007/BF02587185. [DOI] [PubMed] [Google Scholar]
- Heer M., Repond F., Hany A., Sulser H., Kehl O., Jäger K. Acute ischaemic colitis in a female long distance runner. Gut. 1987 Jul;28(7):896–899. doi: 10.1136/gut.28.7.896. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kawarada Y., Satinsky S., Matsumoto T. Ischemic colitis following rectal prolapse. Surgery. 1974 Aug;76(2):340–343. [PubMed] [Google Scholar]
- Kilpatrick Z. M., Farman J., Yesner R., Spiro H. M. Ischemic proctitis. JAMA. 1968 Jul 8;205(2):74–80. [PubMed] [Google Scholar]
- Kilpatrick Z. M., Silverman J. F., Betancourt E., Farman J., Lawson J. P. Vascular occlusion of the colon and oral contraceptives. Possible relation. N Engl J Med. 1968 Feb 22;278(8):438–440. doi: 10.1056/NEJM196802222780807. [DOI] [PubMed] [Google Scholar]
- LITTMAN L., BOLEY S. J., SCHWARTZ S. Sigmoidoscopic diagnosis of reversible vascular occlusion of the colon. Dis Colon Rectum. 1963 Mar-Apr;6:142–146. doi: 10.1007/BF02633469. [DOI] [PubMed] [Google Scholar]
- Lea Thomas M., Cotton P. B. Ischaemic colitis and the contraceptive pill. Br Med J. 1971 Jul 3;3(5765):27–28. doi: 10.1136/bmj.3.5765.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marcuson R. W., Stewart J. O., Marston A. Experimental venous lesions of the colon. Gut. 1972 Jan;13(1):1–7. doi: 10.1136/gut.13.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marston A., Pheils M. T., Thomas M. L., Morson B. C. Ischaemic colitis. Gut. 1966 Feb;7(1):1–15. doi: 10.1136/gut.7.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Matthews J. G., Parks T. G. Ischaemic colitis in the experimental animal. II. Role of hypovolaemia in the production of the disease. Gut. 1976 Sep;17(9):677–684. doi: 10.1136/gut.17.9.677. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McGovern V. J., Goulston S. J. Ischaemic enterocolitis. Gut. 1965 Jun;6(3):213–220. doi: 10.1136/gut.6.3.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nelson R. L., Schuler J. J. Ischemic proctitis. Surg Gynecol Obstet. 1982 Jan;154(1):27–33. [PubMed] [Google Scholar]
- Parks T. G., Johnston G. W., Kennedy T. L., Gough A. D. Spontaneous ischaemic proctocolitis. Scand J Gastroenterol. 1972;7(3):241–246. doi: 10.3109/00365527209181160. [DOI] [PubMed] [Google Scholar]
- Price A. B., Davies D. R. Pseudomembranous colitis. J Clin Pathol. 1977 Jan;30(1):1–12. doi: 10.1136/jcp.30.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Quirke P., Campbell I., Talbot I. C. Ischaemic proctitis and adventitial fibromuscular dysplasia of the superior rectal artery. Br J Surg. 1984 Jan;71(1):33–38. doi: 10.1002/bjs.1800710110. [DOI] [PubMed] [Google Scholar]
- SHANAHAN M. X., STEEDMAN P. K. Inferior mesenteric artery occlusion. Br J Surg. 1963 Mar;50:533–534. doi: 10.1002/bjs.18005022314. [DOI] [PubMed] [Google Scholar]
- SHEARBURN E. W., CONNELL J., HOPKINS J. E. Rectal ulceration due to ischemic necrosis. Ann Surg. 1955 Apr;141(4):563–566. doi: 10.1097/00000658-195504000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sakai L., Keltner R., Kaminski D. Spontaneous and shock-associated ischemic colitis. Am J Surg. 1980 Dec;140(6):755–760. doi: 10.1016/0002-9610(80)90111-7. [DOI] [PubMed] [Google Scholar]
- Scowcroft C. W., Sanowski R. A., Kozarek R. A. Colonoscopy in ischemic colitis. Gastrointest Endosc. 1981 Aug;27(3):156–161. doi: 10.1016/s0016-5107(81)73182-1. [DOI] [PubMed] [Google Scholar]
- Stenberg B., Risberg B. Abdominal aortic aneurysm complicated by rectal necrosis. An unusual complication. Acta Chir Scand. 1984;150(6):497–498. [PubMed] [Google Scholar]
- Thomas M. L. Further observations on ischaemic colitis. Proc R Soc Med. 1968 Apr;61(4):341–342. [PMC free article] [PubMed] [Google Scholar]
- Unreviewed reports. Br Med J (Clin Res Ed) 1984 Mar 3;288(6418):684–684. [PMC free article] [PubMed] [Google Scholar]
- WALD M. GANGRENE OF THE DISTAL TWO THIRDS OF TRANSVERSE COLON, LEFT COLON, RECTUM AND ANAL CANAL DUE TO SUPERIOR MESENTERIC VASCULAR INSUFFICIENCY. Dis Colon Rectum. 1964 Jul-Aug;7:303–305. doi: 10.1007/BF02630536. [DOI] [PubMed] [Google Scholar]
- Welch G. H., Shearer M. G., Imrie C. W., Anderson J. R., Gilmour D. G. Total colonic ischemia. Dis Colon Rectum. 1986 Jun;29(6):410–412. doi: 10.1007/BF02555062. [DOI] [PubMed] [Google Scholar]