Ischemic Colitis with Underlying Coronary Artery Disease

缺血性大腸炎在冠狀動脈疾病之風險

黃耀民(Yao-Ming Huang) ； 張乃文(Jenny Nai-Wan Chang) ； 陳子安(Tzu-An Chen) ； 廖國宏(Kuo-Hung Liao)

《台灣急診專科醫師期刊》 2卷3期 (2010/09) Pp. 90-95

https://doi.org/10.29749/JTCEP.201009.0004

摘要

缺血性大腸炎是腸胃道缺血性疾病中最常見的，而且常合併冠狀動脈心臓病。我們報告一位52歲男性主訴晚飯後左下腹絞痛且有血便，經大腸鏡診斷為缺血性大腸炎。另外在多切電腦斷層及運動心電圖診斷出冠狀動脈心臓病。

關鍵字

缺血性大腸炎 ； 冠狀動脈心臟病

並列摘要

Ischemic colitis is a common type of intestinal ischemia, and coronary artery disease is often present in patients with this condition. We report on a 52 year-old man who presented with left lower abdominal cramping pain after eating, followed by several loose stools with fresh blood. Ischemic colitis was suspected on colonoscopy. Multi-slice computed tomography revealed calcified lesions and 50-70% stenosis in the proximal segment of the right coronary artery. A treadmill exercise test also was positive for ischemia. Coronary artery disease was diagnosed.

並列關鍵字

ischemic colitis ； coronary artery disease