![]() Traveling to new places or drinking unsanitary water can increase the risk of developing enteritis. For example, enteritis and colitis can both cause wall thickening. Gastrointestinal (GI) tract infections may also the colon wall to thicken. Doctors insert an IV catheter into a blood vessel, which also helps restore blood flow in individuals with this condition. These fluids can help boost blood pressure to keep nutrients traveling to the intestines. Treatment for ischemia often includes intravenous (IV) fluids. Doctors will use the scan to observe changes in blood vessels and the colon wall for people with suspected ischemia. This condition primarily affects older people and has a high mortality rate, especially if left untreated.Ī CT scan can help diagnose both chronic and acute ischemia. This colon wall thickening may result from bleeding or swelling within the colon.Īcute bowel ischemia involves an injury to the bowel that disrupts blood supply. In more severe cases, the wall may thicken up to 15 mm. In mild cases of ischemia, the colon wall may thicken only slightly. People who experience long-term ischemia may exhibit weight loss and dull pain in the abdominal area. The symptoms of ischemia vary but often include:Ĭhronic ischemia is more common in females and older individuals. Individuals with intestinal ischemia experience inadequate blood flow to the bowel region. Lifestyle changes, such as dietary modifications or surgery, may also help reduce or manage symptoms in the long term. People with IBD may take different medications designed to reduce inflammation, including: These disorders are frequently the cause of colon wall thickening identified in individuals experiencing abdominal pain. IBD refers to conditions that cause long-term inflammation within the gastrointestinal (GI) tract.Ĭrohn’s disease and ulcerative colitis are two different forms of IBD. ![]() However, a doctor must conduct further tests to identify a specific condition.Ĭolon wall thickening may also indicate the presence of IBD. Inflammatory disorders are a common cause of colon wall thickening. The treatment for each condition varies according to type and severity. After the division of the omentum, we were able to reduce the hernia.In most cases, colon wall thickening is not a sign of a life threatening condition.Īlthough only a doctor can make an accurate diagnosis, this article examines some of the more well-known causes of colon wall thickening below.Īs colon wall thickening has several causes, there is no single treatment to reduce wall thickness. We were able to free up a portion of the omentum using the harmonic scalpel and divide it. A decision was made to attempt to reduce this laparoscopically and several more laparoscopic ports were ing atraumatic graspers, we were able to identify an internal hernia equivalent caused by adhesions of the omentum. The colon appeared viable but was caught in the omentum of the transverse colon. A laparoscope was placed through the port and attention turned to the left upper quadrant where we identified an internal hernia of the transverse colon just proximal to the splenic flexure. Gastrografin enema was performed preoperatively which confirmed colonic obstruction as no contrast passed retrograde beyond the splenic flexure. The angulated, narrowed appearance of the bowel indicates some degree of internal herniation and/or adhesions causing this obstruction. An uncommon type of internal hernia caused by transomental herniation of the splenic flexure, with some component of adhesions based on the operative note.
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