| A Case of Right Side Ischemic Colitis Associated with Herbal Medication for Weight Reduction in a Young Woman |
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Nam Jun Kim, Chung Hun Kim, Jin Hyun Cho, Sung Min Ko, Byung-Hoon Min |
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Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
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| 젊은 여자에서 체중 감량을 위한 한약 복용 후 생긴 우측 허혈성 대장염 1예 |
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김남준, 김충훈, 조진현, 고성민, 민병훈 |
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성균관대학교 의과대학 내과학교실 |
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| Abstract |
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Ischemic colitis has a relatively high prevalence in the elderly population with underlying vascular disorders such as hypertension and usually occurs on the left side of the colon. However, ischemic colitis also rarely occurs in healthy young adults with no risk factors. Herbal medication use is increasing, particularly for weight loss. Ischemic colitis associated with herbal medication use has been rarely reported. Here, we describe a case of right-sided ischemic colitis in a young woman that was potentially linked to the use of herbal medication. An 18-year-old woman was admitted to our emergency department with abdominal pain and bloody diarrhea for 1 day. Her medical history was unremarkable for bowel ischemia risk factors. However, she had taken herbal medication for weight loss for the past 2 weeks. Abdominopelvic CT showed diffuse wall thickening with decreased mucosal enhancement from the ascending to the transverse colon. A colonoscopic biopsy specimen showed coagulative necrosis of the mucosa, hemorrhage, and inflammatory cell infiltration. The abdominopelvic CT, colonoscopy, and biopsy findings were compatible with ischemic colitis. Her abdominal pain and bloody diarrhea improved completely with conservative management, and she was advised to discontinue the use of herbal medications. (Intest Res 2011;9:230-233) |
| Key Words:
Colitis, Ischemic, Herbal Medication, Young Woman |
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