Please use this identifier to cite or link to this item: https://doi.org/10.1097/SLE.0b013e318180c956
Title: Cholesterol atheroembolism of the colon can mimic the endoscopic features of pseudomembranous colitis
Authors: Lim, G.-H.
Roslani, A.C.
Pang, B. 
Bih-Shiou, C.T. 
Keywords: Colonic cholesterol atheroembolism
Endoscopic appearance
Pseudomembranous colitis
Issue Date: Dec-2008
Citation: Lim, G.-H., Roslani, A.C., Pang, B., Bih-Shiou, C.T. (2008-12). Cholesterol atheroembolism of the colon can mimic the endoscopic features of pseudomembranous colitis. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 18 (6) : 616-618. ScholarBank@NUS Repository. https://doi.org/10.1097/SLE.0b013e318180c956
Abstract: The endoscopic features of cholesterol atheroembolism affecting the colon have not been extensively described in the literature, owing to the rarity of this entity. We report a middle-aged man who presented with hematochezia after recent coronary artery bypass graft surgery. Colonoscopy revealed ulcerative skip lesions with overlying slough resembling pseudomembranes distal to the transverse colon, inconsistent with the initial clinical impression of ischemic colitis. As a consequence of continued bleeding with hemodynamic instability, the patient underwent an extended low anterior resection with end transverse colostomy. Histology revealed cholesterol atheroembolism resulting in patchy ischemic ulceration of the colon. Colonic cholesterol atheroembolism can mimic the endoscopic features of pseudomembranous colitis. © 2008 Lippincott Williams & Wilkins.
Source Title: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
URI: http://scholarbank.nus.edu.sg/handle/10635/129819
ISSN: 15304515
DOI: 10.1097/SLE.0b013e318180c956
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