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Case Report
©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
Wei-Ping Li, Hui Qiu
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).
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.

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