설페이트 기반 저용량 액상 장정결제 복용 후 발생한 허혈성 장염 1예
Ischemic Colitis Associated with Low-volume Oral Sulfate Solution for Bowel Preparation
정정화, 이정민, 손영우, 한원철, 윤기철,
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정정화 ( Chung Jung-Wha )
Wonkwang University Sanbon Hospital Department of Internal Medicine
이정민 ( Lee Jung-Min )
Wonkwang University Sanbon Hospital Department of Internal Medicine
손영우 ( Sohn Young-Woo )
Wonkwang University Sanbon Hospital Department of Internal Medicine
한원철 ( Han Weon-Cheol )
Wonkwang University Sanbon Medical Center Department of Pathology
윤기철 ( Yoon Ki-Chul )
Wonkwang University Sanbon Hospital Department of Internal Medicine
Abstract
Ischemic colitis resulting from bowel preparation for colonoscopy is extremely rare, with only a small number of cases with polyethylene glycol having been reported. Here, we present a patient with ischemic colitis after administration of a low-volume oral sulfate solution (OSS). A 49-year-old female without any significant medical history experienced abdominal pain, vomiting, and hematochezia after ingestion of OSS. She complained of severe abdominal pain during colonoscopy, and diffuse edema, hyperemia, friability, and shallow erosions were present on the transverse, descending, and sigmoid colons. A mucosal biopsy revealed mixed lymphoid inflammatory cell infiltration with de-epithelialization, whereas an abdominal CT scan showed submucosal edema on the transverse colon. A diagnosis of ischemic colitis was made. The patient recovered with fluid and antibiotic therapy without significant sequelae. Although OSS is a clinically validated and generally safe bowel preparation agent, ischemic colitis is a rare complication that should be considered.
키워드
Colitis, ischemic; Bowel preparation; Colonoscopy
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