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Ischemic Colitis, the Great Imitator: A Mass Completely Resolved

Roshanak Rabbanifard1, Jeffrey A Gill2

  • 1Department of Internal Medicine, University of South Florida, Tampa, FL.

ACG Case Reports Journal
|July 10, 2015
PubMed

Ischemic colitis (IC) is the most common type of intestinal ischemia, with a vast clinical spectrum of injury ranging from mild and transient ischemia to acute fulminant colitis. The pattern of injury is usually segmental, but it is mainly dictated by individual anatomy, duration of ischemia, and degree of re-perfusion injury. Analysis of clinical presentation, early endoscopic evaluation, and biopsy are all essential for prevention of misdiagnosis. We present a unique case of IC with mass-like features on regular imaging, emphasizing the importance of endoscopy and biopsy for accurate diagnosis.

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