[Doppler ultrasound detection of ischemic colitis]

A 67 year old female patient came to admission because of colic abdominal pain and suspicion of intestinal bleeding. Coloscopically we found disseminated ulcerations within hemorrhagic swollen mucosa at left flexure, right and lower colon were without pathological finding. We thought of ischemic colitis and performed endoscopic dopplersonography. A reduced flow noise over the anastomotic loop between upper and lower mesenteric artery was evident. By means of histology and radiology ischemic colitis was confirmed and after therapy cicatrical healing resulted. As far as we know for the first time ischemic colitis could be recognized with endoscopic dopplersonography.