Albert Science International Organization

ARTICLE DESCRIPTION: 

Affiliation:

¹Department of Surgery, Hospital Serdang, Selangor, Malaysia.

^2,3 Department of Surgery, University Putra Malaysia, Selangor, Malaysia.

Doi: 10.2016-74831794; DOI Link :: http://doi-ds.org/doilink/11.2020-71926197/

ABSTRACT:

Ischemic colitis is the most common type of intestinal ischemia. It is an insult to the colonic wall resulting from diminished blood flow. The spectrum of the insult or necrosis can be from superficial, which are mucosa and submucosa layer till full thickness necrosis of the bowel wall. In 1963, Boley was the 1st one reconignized the clinical presentation of ischemic bowel. A 39 years old Burmese gentleman presented with peritonism. Intaoperative noted extensive ischemic colitis. There are 2 types of Ischemic colitis regarding the anatomic distribution of the disease. Left sided ischemic colitis and righ sided ischemic colitis. We would like to discuss regarding the diagnostic dilemma and anatomic peculiarity to facilitate the surgical resection. We advocate an extensive colectomy (nearly subtotal colectomy) may be better option for an extensive ischemic colitis in a stable patient.

Keywords: Intestinal ischemia, ischemic colitis, colectomy.

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