Case Study: Non - Embolistic Necrotizing Colitis - An Examination of Clinical Presentation and Management

Nguyen Ngoc Chau, Pham Vinh Phu, Nguyen Hoai Nhat Duy

Abstract: Colon necrosis is a gastrointestinal disease that is often difficult to diagnose and manage. Manifestations of colonic ischemia are subtle and varied. We introduce a case of progressive necrotic ischemia in a patient with multiple comorbidities with a relatively straightforward clinical presentation. Radiographic findings showed a left retroperitoneal abscess and did not suggest vascular embolism disease. Intestinal ischemia should be considered when a patient with an underlying coagulopathy and vascular disease presents with abdominal pain and bloody stool. Contrast Enhanced Multislice Computer Tomography is a powerful diagnostic tool that can suggest etiology in some situations. The retroperitoneal abscess presentation on CT showed that ischemia had progressed through the entire intestinal wall, causing perforation and infection that had spread to nearby organs. Indication for surgery was necessary and urgent.

Keywords: Non - Embolistic Necrotizing Colitis, Clinical Presentation, Management Strategies, Case Study, Gastrointestinal Disease