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Ischemic colitis (IC) is a common intestinal ischemia. This case highlights how endoscopy and biopsy are crucial for diagnosing IC presenting with unusual mass-like imaging features.

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Area of Science:

  • Gastroenterology
  • Vascular Medicine

Background:

  • Ischemic colitis (IC) is the most frequent form of intestinal ischemia.
  • IC presents with a wide range of severity, from mild transient episodes to severe fulminant colitis.
  • Injury patterns are typically segmental, influenced by patient anatomy, ischemia duration, and reperfusion injury.

Observation:

  • A unique case of IC demonstrated mass-like features on conventional imaging.
  • This presentation mimicked other intra-abdominal pathologies.

Findings:

  • Clinical presentation, early endoscopic evaluation, and biopsy are vital for accurate IC diagnosis.
  • Endoscopy and biopsy confirmed the diagnosis in this case, despite atypical imaging findings.

Implications:

  • Accurate diagnosis of IC prevents misdiagnosis and ensures appropriate management.
  • Recognizing unusual imaging presentations of IC is important for clinicians.
  • Emphasizes the indispensable role of endoscopy and biopsy in diagnosing challenging IC cases.