The clinical diagnosis of bowel ischemia is often difficultand the diagnosis can easily be missed unless there is a high indexof clinical and radiological suspicion. Bowel ischemia andor infarction must be considered in the differential diagnosisin the older patient with pre-existing coronary artery orgeneralized vascular disease, cardiac failure, or arrhythmiasespecially atrial fibrillation and hypertension. An elderlypatient with caecal infarction is presented who was initiallydiagnosed and treated for renal colic.
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