Fulminant gangrenous ischemic colitis: Is it the solely severe type of ischemic colitis?

摘要

In 1953, Shaw and Green reported an episode of infarction after inferior mesenteric artery ligation for treatment of colon cancer. Since then, ischemic colitis has been increasing. It ranges from 4.5 to 44 cases per 100,000 person-years and accounts for 1 in 1,000 hospitalizations among the general hospital population. The incidence of ischemic colitis is difficult to determine, as many mild cases are transient and are either not reported or misdiagnosed. Case reports reflect the heterogeneity of the disease from transient segmental colopathy to fulminant gangrenous colitis. This disease may result in a wide clinical spectrum ranging from mild to severe forms.