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Updated: May 31, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Ischemic colitis presenting as a colonic mass: a case report and diagnostic challenges
Lin Xu1, Yuqi Wu1,2, Shangjin Li1,2
1Institute of Gastroenterology, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Ischemic colitis (IC) can present as a colon mass, challenging diagnosis. This case highlights successful conservative treatment and the importance of timely, personalized care for atypical IC presentations.
Area of Science:
- Gastroenterology
- Vascular Medicine
Background:
- Ischemic colitis (IC) presents with nonspecific symptoms like abdominal pain and bloody diarrhea, especially in older adults with vascular risk factors.
- Diagnosis relies on elevated inflammatory markers (white blood cells, lactate, CRP) and imaging (CT, colonoscopy), but lacks specific biomarkers, complicating early detection.
- Differentiating IC from inflammatory bowel disease, diverticulitis, and colorectal cancer is crucial but challenging due to overlapping symptoms and imaging findings.
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