Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2023; 11(20): 4937-4943
Published online Jul 16, 2023. doi: 10.12998/wjcc.v11.i20.4937
Contrast-induced ischemic colitis following coronary angiography: A case report
Hui Qiu, Wei-Ping Li
Hui Qiu, Wei-Ping Li, Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Author contributions: Qiu H and Li WP provided clinical care for the patient; Qiu H wrote the manuscript; Li WP reviewed the manuscript; all authors have read and approved the final draft submitted.
Supported by National Key R&D Program of China, No. 2021ZD0111000; Beijing Key Clinical Subject Program, No. 2018-204.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Ping Li, MD, PhD, Chief Doctor, Professor, Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Beijing 100050, China. liwp@mail.ccmu.edu.cn
Received: April 5, 2023
Peer-review started: April 5, 2023
First decision: April 27, 2023
Revised: May 10, 2023
Accepted: June 19, 2023
Article in press: June 19, 2023
Published online: July 16, 2023
Processing time: 91 Days and 20 Hours
Core Tip

Core Tip: Ischemic colitis (IC) is the most frequently encountered intestinal ischemia and is associated with high mortality. Here, we describe a case of isolated right colon ischemia in a 52-year-old gentleman following a diagnostic coronary angiography that involved 60 mL of iohexol (Omnipaque 300). This case highlights that clinicans should be aware of contrast-induced IC and considered in the differential diagnosis of unexplained abdominal pain after a cardiovascular interventional procedure with the administration of contrast media. Risk stratification should be carried out as soon as possible based on clinical characteristics to ensure appropriate treatment strategies.