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Volume 09 Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X Gastro Congress 2019
July 08-09, 2019
July 08-09, 2019 | Zurich, Switzerland
14th Euro-Global Gastroenterology Conference
Ischemic colitis as a rare complication of colonoscopy
Wadha Rashed Al Subaiee and Ahmed Al Akwaa
National Guard Hospital, Saudi Arabia
W e report a 59 year old man with controlled hypertension, diabetes mellitus and irritable bowel syndrome who
was visiting surgical clinic for Per-rectal bleeding secondary to piles. He was referred for colonoscopy to rule
out any other colonic pathologies. A colonoscopy was done on March 27, 2016 that revealed two small colonic polyps
with no other mucosal pathology. Biopsy of one polyps showed tubular adenoma. He started to have abdominal pain
the 2nd day post colonoscopy. This pain was dull aching moderate to severe associated with intermittent Per-rectal
bleeding. The pain was attributed to Irritable Bowel syndrome (although this pain was different from the pain he
used to have before) and the Per-rectal bleeding was attributed to piles. Despite the fact that he was operated for
piles three weeks later, he continued to complain of abdominal pain with recurrent visits to Emergency room and
out-patients clinic. A repeat colonoscopy was done three weeks post operation to assess the cause for the continued
abdominal pain and the Per-rectal bleeding. The second colonoscopy showed severe colitis involving upper sigmoid,
descending colon and distal transverse with sloughed mucosa and black spots. The histology was consistent with
ischemic colitis. He had chronic course with pain required recurrent admissions with conservative treatment, he
refused surgical intervention. He improved very slowly. A third colonoscopy with biopsy after 19 months showed
completely normal mucosa with normal histology. This case represents a rare cause of ischemic colitis precipitated
by colonoscopy. The clinician should be aware of such scenario if patient continues to have unexplained abdominal
pain post colonoscopy. There are few cases reported in the literature. No reported case from the kingdom.
Biography
Wadha Rashed Al Subaiee is a Junior Resident (R2) internal medicine. She is interested in gastroenterology. She is working at the National Guard Hospital.
Wadha Rashed Al Subaiee et al., J Gastrointest Dig Syst 2019, Volume 09