Shi Jiuyu, Cong Linghua, Lin Qi
Department of Gastroenterology, The Affiliated People's Hospital of Ningbo University, 251 Baizhang East Road, Ningbo, Zhejiang, 315040, China.
Department of Pathology, The Affiliated People's Hospital of Ningbo University, 251 Baizhang East Road, Ningbo, Zhejiang, 315040, China.
Int J Emerg Med. 2025 Jul 15;18(1):130. doi: 10.1186/s12245-025-00936-x.
Ischemic bowel disease is a common disease of bleeding in the lower digestive tract. There are many risk factors for ischemic bowel disease. Abdominal pain, bloody stool and diarrhea were often the triad of clinical manifestations. The endoscopic appearance included colonic mucosal edema and erosion; submucosal hemorrhage, mucosal necrosis, mucosal shedding, ulcer formation et al. But in rare cases its manifestations are highly variable, which makes clinical diagnosis challenging. Colonoscopy and pathology are the keys to diagnosis. We present a case of "mass-forming" variant of ischemic colitis following COVID infection.
缺血性肠病是下消化道出血的常见疾病。缺血性肠病有许多危险因素。腹痛、便血和腹泻常常是其临床表现的三联征。内镜表现包括结肠黏膜水肿和糜烂；黏膜下出血、黏膜坏死、黏膜脱落、溃疡形成等。但在罕见情况下其表现高度多变，这使得临床诊断具有挑战性。结肠镜检查和病理检查是诊断的关键。我们报告一例新冠感染后缺血性结肠炎“肿块形成”变异型病例。
