A 60-year-old woman with a history of type 2 diabetes mellitus complicated by end-stage renal disease (ESRD) and on haemodialysis (HD) for 12 months, presented with 1 day of diffuse cramping abdominal pain associated with haematochezia. The patient denied other symptoms including fever, chills, nausea, vomiting or diarrhoea. On examination, the patient was hypotensive (75/45 mm Hg). The patient also notes that she had a similar presentation just 8 months prior and was diagnosed with ischaemic colitis presumed secondary to hypotension associated with HD. CT angiography of the abdomen and pelvis revealed segmental wall thickening of the distal transverse colon/hepatic flexure with …

中文翻译：

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结肠黏膜溃疡和胃肠道出血的异常原因

一名 60 岁女性，有 2 型糖尿病合并终末期肾病 (ESRD) 病史并接受血液透析 (HD) 12 个月，出现 1 天的弥漫性痉挛性腹痛并伴有便血。患者否认其他症状，包括发烧、寒战、恶心、呕吐或腹泻。经检查，患者出现低血压（75/45 mm Hg）。患者还指出，她仅在 8 个月前也有类似的表现，并被诊断为缺血性结肠炎，推测继发于与 HD 相关的低血压。腹部和骨盆的 CT 血管造影显示远端横结肠/肝曲的节段性壁增厚...