Mehershahi Shehriyar, Ghazanfar Haider, Ashraf Shoaib, Shaikh Danial H, Patel Harish
Department of Gastroenterology, Bronxcare Health System, Bronx, New York, USA.
Department of Medicine, Bronxcare Health System, Bronx, New York, USA.
Case Rep Gastroenterol. 2021 Jul 8;15(2):621-625. doi: 10.1159/000514440. eCollection 2021 May-Aug.
Constipation is one of the most common functional gastrointestinal disorders and affects 20% of the general population. Irritable bowel syndrome (IBS) is a functional disorder of the gastrointestinal tract that affects the large intestine and is characterized by chronic abdominal pain and altered bowel habits. We report a case of a 35-year-old African American man with a past medical history of IBS who presented to the clinic with a chief complaint of abdominal pain and bloody diarrhea for 1 week. The patient stated that he used a colon-cleansing agent because of persistent constipation. Computed tomography scan of the patient's abdomen and pelvis with contrast was performed which showed diffuse contiguous segmental mural thickening and nodularity seen along the distal transverse, descending, and sigmoid colon. Colonoscopy showed moderate diffuse inflammation characterized by altered vascularity, erythema, and granularity from the rectum to the descending colon, and localized mild inflammation characterized by erythema was found at the ileocecal valve. The patient's clinical condition improved with symptomatic management over 10 days. Patients with IBS should be advised to restrain from using a colon-cleansing agent without advice from their primary doctor as it can lead to various complications.
便秘是最常见的功能性胃肠疾病之一，影响着20%的普通人群。肠易激综合征（IBS）是一种影响大肠的胃肠道功能性疾病，其特征为慢性腹痛和排便习惯改变。我们报告一例35岁非裔美国男性病例，该患者有肠易激综合征病史，因腹痛和便血腹泻1周前来诊所就诊。患者称因持续性便秘使用了结肠清洁剂。对患者的腹部和骨盆进行了增强计算机断层扫描，结果显示沿横结肠远端、降结肠和乙状结肠可见弥漫性连续性节段性肠壁增厚和结节。结肠镜检查显示，从直肠到降结肠有中度弥漫性炎症，表现为血管改变、红斑和颗粒状，在回盲瓣处发现以红斑为特征的局限性轻度炎症。经过10天的对症治疗，患者的临床状况有所改善。应建议肠易激综合征患者在没有主治医生建议的情况下不要使用结肠清洁剂，因为这可能会导致各种并发症。
