Authors
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Md. Shakhawat Hossain
Assistant Professor, Department of Gastroenterology, Rangpur Medical College, Rangpur
Author
https://orcid.org/0000-0003-0624-4682
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Md. Abu Hena Mostafa Kamal
Indoor Medical Officer, Department of Gastroenterology, Rangpur Medical College Hospital, Rangpur
Author
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Md. Yeasir Arafat
Indoor Medical Officer, Department of Gastroenterology, Rangpur Medical College Hospital
Author
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Md. Kamal Hossein
Indoor Medical Officer, Department of Gastroenterology, Rangpur Medical College Hospital
Author
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Md. Firoz Mondol
Junior Consultant (Medicine) -In situ, Rangpur Medical College Hospital.
Author
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AKM Shamim Azad
Junior Consultant( Medicine)-In situ, Rangpur Medical College Hospital
Author
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Md. Shahriar Sabbir
Registrar, Department of Gastroenterology, Rangpur Medical College
Author
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Md. Mamunur Rashid
Assistant Registrar, Department of Gastroenterology, Rangpur Medical College.
Author
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Khondoker Monirul Alam
Consultant (Medicine), Rangpur Medical College Hospital
Author
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Md. Naushad Ali
Associate Professor, Department of Gastroenterology, Rangpur Medical College, Rangpur
Author
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Md. Makhsudul Alam
Professor, Department of Gastroenterology, Rangpur Medical College, Rangpur
Author
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Maknunnahar
Ph.D Researcher Fellow, School of Science and Technology, Bangladesh Open University, Gazipur, Bangladesh
Author
https://orcid.org/0000-0002-4999-4152
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Nushin Sarmily
5th year BDs Student, Rangpur Medical College, Dental Unit, Rangpur
Author
Keywords:
Colonic ischemia, Ischemic heart disease, CT angiography, Non-occlusive mesenteric ischemia
Abstract
Background: Colonic ischemia (CI) is the most prevalent form of gastrointestinal ischemia, frequently affecting elderly patients with underlying cardiovascular comorbidities.
Case Report: We present the case of a 72-year-old male with a history of ischemic heart disease (IHD) and hypertension who presented with acute abdominal pain and hematochezia. Diagnostic workup, including computed tomography (CT) angiography and colonoscopy, confirmed the diagnosis of segmental colonic ischemia affecting the splenic flexure and descending colon. This case underscores the critical importance of considering CI in the differential diagnosis of abdominal pain in high-risk patients and highlights the role of a multifaceted diagnostic approach. Management focused on supportive care, leading to a successful resolution. The case also discusses the potential pathophysiological links between IHD, certain cardiac medications, and the development of non-occlusive colonic ischemia.
