Buscar en
Gastroenterología y Hepatología (English Edition)
Toda la web
Inicio Gastroenterología y Hepatología (English Edition) Black bowel: An unexpected cause of abdominal pain
Journal Information
Vol. 41. Issue 2.
Pages 116-117 (February 2018)
Share
Share
Download PDF
More article options
Vol. 41. Issue 2.
Pages 116-117 (February 2018)
Image of the month
Full text access
Black bowel: An unexpected cause of abdominal pain
Intestino negro: una causa inesperada de dolor abdominal
Visits
...
Rui Gaspara,b,c,
Corresponding author
ruilopesgaspar@gmail.com

Corresponding author.
, Patricia Andradea,b,c, Helder Cardosoa,b,c, Guilherme Macedoa,b,c
a Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal
b Porto Medical School, Portugal
c Porto WGO Training Center, Portugal
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

A 31-year-old man with past medical history of anal fistula 6 years before and bone marrow failure of unknown etiology diagnosed two months before presentation, was admitted at the Hematology Department due to fever, abdominal pain and nausea. He was under ciclosporine 400mg/day and aciclovir 400mg 3 times a day. The results of his examination were significant for moderate epigastric and umbilical abdominal pain and laboratory data showed pancytopenia (similar to previous results) and C reactive protein of 266mg/dL. Ultrasound imaging was unremarkable.

He was then treated with piperacilin/tazobactam 4.5g/3 times a day. The CT scan showed two segments in the jejunum with wall thickening and mesenteric edema and vascular mesenteric prominence.

In the clinical discussion we proposed to perform an enteroscopy which showed a 10cm segment in the proximal jejunum with edematous and fragile mucosa, with ulceration and extensive necrosis (Figs. 1–3).

Figure 1.

Extensive necrosis of the mucosa.

(0.28MB).
Figure 2.

Edematous mucosa of the jejunum.

(0.28MB).
Figure 3.

Ulceration of the mucosa.

(0.27MB).

Histopathological specimen was compatible with ischemic enteritis.

Ischemic enteritis is a rare entity but with high mortality. Therefore, early recognition is very important in the management of these patients.

Copyright © 2017. Elsevier España, S.L.U.. All rights reserved
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos