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Spontaneous Ischemic Proctitis—A New Entity.

H. M. Spiro, M.D., F.A.C.P.; Z. Kilpatrick, M.D.; R. Yesner, M.D.; and J. Farman, M.D.
Ann Intern Med. 1968;68(5):1150. doi:10.7326/0003-4819-68-5-1150_1
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Hitherto, ishemic damage to the colon has been observed only in the proximal and descending colon, and the general opinion has been that the distal sigmoid and rectum are spared in spontaneous vascular disease. It is the purpose of this report to show that, in fact, spontaneous ischemic disease of the rectum and sigmoid is not rare as a result of small-vessel disease.

Observations in 14 patients have led to the definition of a syndrome clinically, radiologically, and histologically recognizable as spontaneous ischemic disease of the rectum and sigmoid. The patient usually complains of abdominal pain, alteration of bowel function,



ischemia ; proctitis

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