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Evanescent colitis

H C Heron, I T Khubchandani, H D Trimpi

    Diseases of the Colon and Rectum
    |October 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Evanescent colitis, a condition causing sudden abdominal pain and bloody stools in young adults, mimics colonic ischemia but affects healthier individuals. It often resolves spontaneously within days.

    Area of Science:

    • Gastroenterology
    • Internal Medicine

    Background:

    • Evanescent colitis is a rare clinical entity characterized by abrupt abdominal pain, loose stools, and hematochezia.
    • It presents similarly to colonic ischemia but typically affects younger individuals without underlying vascular disease.

    Observation:

    • The study details nine cases of evanescent colitis in patients under 50, free of vascular disease.
    • Two patients were using oral contraceptives, a factor noted in literature reviews.

    Findings:

    • Diagnosis can be suggested by abdominal X-rays and confirmed with barium-enema studies.
    • Evanescent colitis shares clinical features with colonic ischemia but differs in patient demographics and absence of vascular pathology.

    Implications:

    Keywords:
    Age FactorsBiologyCase StudiesCerebrovascular EffectsContraceptionContraceptive Methods--side effectsDiseasesFamily PlanningIschemiaMenOral Contraceptives--side effectsPhysiologyResearch MethodologyStudiesVascular DiseasesWomen

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  • This condition requires differentiation from infectious colitides, ulcerative colitis, granulomatous colitis, and pseudomembranous colitis.
  • The association with oral contraceptives warrants further investigation into potential risk factors in young adults.