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Bloody diarrhoea in a 54-year-old Arab patient
1 Department of Gastroenterology, Hepatology and Gastroenterological Oncology, Klinikum Munich–Bogenhausen, Academic Teaching Hospital, Technical University of Munich, Germany
2 Department of Diagnostic and Interventional Radiology, Klinikum Munich–Bogenhausen, Academic Teaching Hospital, Technical University of Munich, Germany
3 Department of General and Visceral Surgery, Klinikum Munich–Bogenhausen, Academic Teaching Hospital, Technical University of Munich, Germany
Correspondence to:
Dr H Seidl, Department of Gastroenterology, Hepatology and Gastroenterological Oncology, Klinikum Munich–Bogenhausen, Academic Teaching Hospital, Technical University of Munich, Englschalkinger Str 77, 81925 Munich, Germany; H.Seidl@lrz.tum.de
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 54-year-old Arab patient was referred to our hospital with a 3 week history of bloody diarrhoea, bloating and left-sided abdominal pain, refractory to a 2 week course of ciprofloxacine and metronidazole. The medical history was unremarkable with respect to gastroenterointestinal or thromboembolic diseases. The patient mentioned a daily intake, for the previous 2 months, of a non-commercial herbal tea mix used in traditional Arabic medicine. No other regular medication had been used. Colonoscopy showed a strictly segmental inflammation of the descending colon and rectum with indurated colonic walls, loss of haustriae, vulnerable mucosa and longitudinal ulcerations. A contrast-enhanced biphasic abdominal computed tomography scan supported the suspicion of segmental colitis with thickened colonic walls, pericolonic stranding, and retroperitoneal lymphadenopathy (fig 1) mark mesenteric veins, stars affected colon, # patent portal. No abnormalities were found in rheumatologic and hypercoagulability work-ups. The patient underwent left-sided hemicolectomy and recovered well postoperatively.
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Gut 2009 58: 544.[Extract] [Full Text] [PDF]
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