{"id":"https://openalex.org/W7214798745","doi":"https://doi.org/10.7759/cureus.117150","title":"Atypical Multisegmental Involvement in Suspected Ischemic Colitis: A Case Report","display_name":"Atypical Multisegmental Involvement in Suspected Ischemic Colitis: A Case Report","publication_year":2026,"publication_date":"2026-09-29","ids":{"openalex":"https://openalex.org/W7214798745","doi":"https://doi.org/10.7759/cureus.117150","pmid":"https://pubmed.ncbi.nlm.nih.gov/42960225","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13718528"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117150","doi":"https://doi.org/10.7759/cureus.117150","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117150","pdf_url":"https://www.cureus.com/articles/498393-atypical-multisegmental-involvement-in-suspected-ischemic-colitis-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/498393-atypical-multisegmental-involvement-in-suspected-ischemic-colitis-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5091462795","display_name":"Henry K.-H. Mah","orcid":"https://orcid.org/0000-0001-7986-6533","observed_orcids":["https://orcid.org/0000-0001-7986-6533"]},"institutions":[{"id":"https://openalex.org/I2800899509","display_name":"Wyckoff Heights Medical Center","ror":"https://ror.org/00yzb1d91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800899509"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Henry K Mah","raw_affiliation_strings":["Internal Medicine, Wyckoff Heights Medical Center, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Wyckoff Heights Medical Center, New York, USA","institution_ids":["https://openalex.org/I2800899509"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151961215","display_name":"John A Spallanzani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800899509","display_name":"Wyckoff Heights Medical Center","ror":"https://ror.org/00yzb1d91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800899509"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John A Spallanzani","raw_affiliation_strings":["Internal Medicine, Wyckoff Heights Medical Center, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Wyckoff Heights Medical Center, New York, USA","institution_ids":["https://openalex.org/I2800899509"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153422842","display_name":"Mike De Leonardis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800899509","display_name":"Wyckoff Heights Medical Center","ror":"https://ror.org/00yzb1d91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800899509"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mike De Leonardis","raw_affiliation_strings":["Internal Medicine, Wyckoff Heights Medical Center, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Wyckoff Heights Medical Center, New York, USA","institution_ids":["https://openalex.org/I2800899509"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153491488","display_name":"Alex Shu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800899509","display_name":"Wyckoff Heights Medical Center","ror":"https://ror.org/00yzb1d91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800899509"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alex Shu","raw_affiliation_strings":["Internal Medicine, Wyckoff Heights Medical Center, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Wyckoff Heights Medical Center, New York, USA","institution_ids":["https://openalex.org/I2800899509"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5115699300","display_name":"Roxana Lazarescu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800899509","display_name":"Wyckoff Heights Medical Center","ror":"https://ror.org/00yzb1d91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800899509"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roxana Lazarescu","raw_affiliation_strings":["Internal Medicine, Wyckoff Heights Medical Center, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Wyckoff Heights Medical Center, New York, USA","institution_ids":["https://openalex.org/I2800899509"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5091462795"],"corresponding_institution_ids":["https://openalex.org/I2800899509"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7437972,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e117150","last_page":"e117150"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ischemic-colitis","display_name":"ischemic colitis","score":0.9980000257492065},{"id":"https://openalex.org/keywords/right-sided-colitis","display_name":"right-sided colitis","score":0.7720000147819519},{"id":"https://openalex.org/keywords/rectal-involvement","display_name":"rectal involvement","score":0.8420000076293945},{"id":"https://openalex.org/keywords/bloody-diarrhea","display_name":"bloody diarrhea","score":0.7059999704360962},{"id":"https://openalex.org/keywords/acute-abdominal-pain","display_name":"acute abdominal pain","score":0.7440000176429749},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.7519999742507935},{"id":"https://openalex.org/keywords/surgical-observations","display_name":"surgical observations","score":0.5770000219345093},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.5239999890327454}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9871000051498413},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5040000081062317},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.37880000472068787},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.3034000098705292},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.29490000009536743},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2410999983549118},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.24040000140666962},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2379000037908554},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.22349999845027924}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117150","doi":"https://doi.org/10.7759/cureus.117150","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117150","pdf_url":"https://www.cureus.com/articles/498393-atypical-multisegmental-involvement-in-suspected-ischemic-colitis-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13718528","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13718528/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13718528/pdf/cureus-0018-00000117150.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42960225","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42960225","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117150","doi":"https://doi.org/10.7759/cureus.117150","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117150","pdf_url":"https://www.cureus.com/articles/498393-atypical-multisegmental-involvement-in-suspected-ischemic-colitis-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214798745.pdf","grobid_xml":"https://content.openalex.org/works/W7214798745.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2005714828","https://openalex.org/W2017270074","https://openalex.org/W2029495048","https://openalex.org/W2045028764","https://openalex.org/W2048153703","https://openalex.org/W2089383900","https://openalex.org/W2100126880","https://openalex.org/W2161405283","https://openalex.org/W2575894938","https://openalex.org/W4235607961","https://openalex.org/W4247171693","https://openalex.org/W4248541504","https://openalex.org/W4392472227"],"related_works":["https://openalex.org/W4313163020","https://openalex.org/W4387751094","https://openalex.org/W2978999495","https://openalex.org/W2944501037","https://openalex.org/W2291157927","https://openalex.org/W4384131679","https://openalex.org/W4387751074","https://openalex.org/W4316077079","https://openalex.org/W2186756739","https://openalex.org/W4416031265"],"abstract_inverted_index":{"We":[0],"report":[1],"a":[2,9,73,162,167],"case":[3,148],"compatible":[4],"with":[5,12,18,29,72,101],"ischemic":[6,120,152],"colitis":[7,153],"in":[8],"68-year-old":[10],"man":[11],"hypertension,":[13],"coronary":[14],"artery":[15],"disease":[16],"treated":[17],"three":[19],"stents,":[20],"peripheral":[21],"arterial":[22],"disease,":[23],"and":[24,34,45,70,80,99,111,127,137,158,166],"diabetes":[25],"mellitus":[26],"who":[27],"presented":[28],"acute":[30],"abdominal":[31,113],"pain,":[32],"vomiting,":[33],"bloody":[35],"diarrhea.":[36],"Initial":[37],"white":[38],"blood":[39],"cell":[40],"count":[41],"was":[42,48,117],"22.2":[43],"K/\u00b5L,":[44],"serum":[46],"lactate":[47,168],"0.8":[49],"mmol/L.":[50],"Contrast-enhanced":[51],"CT":[52],"demonstrated":[53],"multisegmental":[54],"colitis.":[55],"Colonoscopy":[56],"showed":[57],"severe,":[58],"noncontiguous":[59],"inflammation":[60],"involving":[61],"the":[62,170],"rectum,":[63],"sigmoid":[64],"colon,":[65,69],"hepatic":[66],"flexure,":[67],"ascending":[68],"cecum,":[71],"normal":[74],"terminal":[75],"ileum.":[76],"Sharply":[77],"demarcated":[78],"ulceration":[79],"dusky":[81],"mucosa":[82],"favored":[83],"ischemia,":[84],"although":[85],"these":[86],"findings":[87],"were":[88,130,134],"not":[89,135,143],"diagnostic.":[90],"The":[91,119],"patient":[92],"remained":[93,122],"hemodynamically":[94],"stable":[95,176],"without":[96],"peritoneal":[97],"signs":[98],"improved":[100],"bowel":[102],"rest,":[103],"intravenous":[104],"fluids,":[105],"ceftriaxone":[106],"plus":[107],"metronidazole,":[108],"surgical":[109,179],"consultation,":[110],"serial":[112],"examinations.":[114],"No":[115],"operation":[116],"performed.":[118],"mechanism":[121],"indeterminate:":[123],"dedicated":[124],"vascular":[125],"imaging":[126],"colonic":[128],"histopathology":[129],"unavailable,":[131],"stool":[132],"studies":[133],"obtained,":[136],"infectious":[138],"or":[139],"other":[140],"mimics":[141],"could":[142],"be":[144],"excluded":[145],"definitively.":[146],"This":[147],"illustrates":[149],"that":[150],"suspected":[151],"can":[154],"have":[155],"atypical":[156],"rectal":[157],"right-sided":[159],"involvement":[160],"despite":[161,185],"relatively":[163],"benign":[164],"examination":[165],"within":[169],"reference":[171],"range.":[172],"In":[173],"this":[174],"clinically":[175],"patient,":[177],"close":[178],"observation":[180],"supported":[181],"continued":[182],"nonoperative":[183],"treatment":[184],"guideline":[186],"features":[187],"of":[188],"severe":[189],"disease.":[190]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-30T00:00:00"}
