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A 29 year old woman is reported with bloody diarrhoea three hours after developing anaphylactoid shock. Sigmoidoscopy, barium enema, and histology showed rectal and colonic ischaemia to the splenic flexure. Recovery was complete. There was no history of vascular disease but the patient was taking an oral contraceptive. Thirty one other cases of spontaneous ischaemic proctitis are reviewed.

Original publication

DOI

10.1136/gut.32.4.443

Type

Journal article

Journal

Gut

Publication Date

04/1991

Volume

32

Pages

443 - 446

Addresses

St Thomas's Hospital, London.

Keywords

Colon, Rectum, Humans, Ischemia, Anaphylaxis, Acute Disease, Radiography, Adult, Aged, Middle Aged, Female