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Updated: Dec 21, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Fulminant Ischemic Pancolitis: A Severe Variant of Ischemic Colitis
Anupam K Gupta1, Oscar A Vazquez1, Monica I Burgos2
1Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.
Abstract:
We present the case of a 75-year-old female with abdominal pain and a sudden change in mental status. She progressed rapidly with manifestations of acidosis without episodes of bloody bowel movements or diarrhea. The patient underwent emergent exploratory laparotomy, and a diagnosis of fulminant ischemic pancolitis was made with visual confirmation of infarcted colon from cecum to proximal rectum leading to subtotal colectomy and ileostomy. Postoperatively, the patient showed improved acidosis and mental status; unfortunately, over the subsequent days, the patient declined and was transferred to hospice and palliative care.
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