Introduction Colon Ischaemia (CI) also called as ischaemic colitis is a condition that occurs when the blood flow to the colon is reduced to such a level that it is unable to maintain cellular metabolic function. The colonocytes eventually become acidotic, dysfunctional; lose their 1 integrity and, ultimately, die.1Brandt LJ, Feuerstadt P, Longstreth GF, Boley SJ. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischaemia (CI).Am J Gastroenterol 2015; 110:18-44. CI represents almost half cases of gastrointestinal ischaemia.2Theodoropoulou A, Koutroubakis IE. Ischaemic colitis: clinical practice in diagnosis and treatment. World J Gastroenterol 2008 December 28; 14(48): 7302-7308. CI is more commonly observed in older persons.3Mohanapriya T, Singh KB, Arulappan T, Shobhana R. Ischaemic colitis. =Indian J Surg 2012; 74(5):396-400. Approximately 90% cases of CI are observed in patients more than 60 years of age. However, younger patients may be affected by CI. Although CI…
Introduction Abdominal pain is a common outpatient presentation which is challenging to diagnose.1Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician. 2008; 77(7):971-978. It is the most common cause of hospitalisation in the United states and is responsible for 5% to 10% of all emergency department visits. Out of all the hospitalisations for abdominal pain, 35% to 40% have a nonspecific pain. Acute abdominal pain is a term used to describe acute condition within the abdomen that requires immediate medical or surgical attention. Acute abdominal pain may sometimes not be of abdominal origin and may or may not require surgery.2Karnath B, Milenski W. Acute abdominal Pain. Hospital Physician 2002; 45-50. Epidemiology The most common cause of abdominal pain which does not require surgery is gastroenteritis. On the other hand, the most common cause of abdominal pain which requires surgery is appendicitis. In older patients (>60…
