{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:56:50Z","timestamp":1786550210944,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>\n                    <jats:bold>ABSTRACT<\/jats:bold>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Acute ischemic proctitis is a rare condition usually resulting from severe vascular disease or an acute vascular occlusion. The diagnosis is made on endoscopy, and mortality rates approach 20\u201340%. Many patients will require a proctectomy as the definitive treatment, especially for gangrenous proctitis. We describe an unusual presentation of acute ischemic proctitis in a patient without preexisting vascular disease or other precipitants. Furthermore, our patient recovered entirely with conservative management and intravenous antibiotics alone. We review the existing literature on ischemic proctitis and highlight the need for future research to better diagnose and manage this rare condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/crj.2017.88","type":"journal-article","created":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T15:30:22Z","timestamp":1500910222000},"page":"e88","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Ischemic Proctitis Presenting as Rectal Pain and Bloody Diarrhea with No Apparent Cause"],"prefix":"10.14309","volume":"4","author":[{"given":"Kyle J.","family":"Fortinsky","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fayez","family":"Quereshy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephano","family":"Serra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Habal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"R1-88-20260710","first-page":"27","article-title":"Ischemic proctitis.","volume":"154","author":"Nelson","year":"1982","journal-title":"Surg Gynecol Obstet"},{"issue":"2","key":"R2-88-20260710","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1001\/jama.1968.03140280028008","article-title":"Ischemic proctitis.","volume":"205","author":"Kilpatrick","year":"1968","journal-title":"JAMA"},{"issue":"146","key":"R3-88-20260710","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/bjs.18003714604","article-title":"The blood-supply to the sigmoid colon and rectum with reference to the technique of rectal resection with restoration of continuity.","volume":"37","author":"Goligher","year":"1949","journal-title":"Br J Surg"},{"issue":"4","key":"R4-88-20260710","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/BF02048118","article-title":"Acute ischemic proctitis: Report of six cases.","volume":"35","author":"Nelson","year":"1992","journal-title":"Dis Colon Rectum"},{"issue":"6","key":"R5-88-20260710","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/S1051-0443(99)70110-7","article-title":"Rectum and sigmoid colon necrosis due to cholesterol embolization after implantation of an aortic stent-graft.","volume":"10","author":"Jaeger","year":"1999","journal-title":"J Vasc Interv Radiol"},{"issue":"8","key":"R6-88-20260710","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1007\/BF02236711","article-title":"Refractory proctosigmoiditis caused by myointimal hyperplasia of mesenteric veins: Report of a case.","volume":"42","author":"Savoie","year":"1999","journal-title":"Dis Colon Rectum"},{"issue":"12","key":"R7-88-20260710","first-page":"2234","article-title":"Gangrenous ischemic colitis of the rectum: A rare complication of systemic lupus erythematosus.","volume":"89","author":"Reissman","year":"1994","journal-title":"Am J Gastroenterol"},{"issue":"11","key":"R8-88-20260710","first-page":"2305","article-title":"Ischemic proctosigmoiditis.","volume":"91","author":"Bharucha","year":"1996","journal-title":"Am J Gastroenterol"},{"issue":"23","key":"R9-88-20260710","doi-asserted-by":"crossref","first-page":"3776","DOI":"10.3748\/wjg.v12.i23.3776","article-title":"Management of ischemic proctitis with severe rectal haemorrhage: A case report.","volume":"12","author":"Yip","year":"2006","journal-title":"World J Gastroenterol"},{"issue":"2","key":"R10-88-20260710","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1148\/91.2.302","article-title":"The radiology of ischemic proctitis.","volume":"91","author":"Farman","year":"1968","journal-title":"Radiology"},{"issue":"10","key":"R11-88-20260710","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1097\/OLQ.0000000000000022","article-title":"The etiology of infectious proctitis in men who have sex with men differs according to HIV status.","volume":"40","author":"Bissessor","year":"2013","journal-title":"Sex Transm Dis"},{"issue":"2","key":"R12-88-20260710","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s10620-011-1935-0","article-title":"Infectious proctitis: When to suspect it is not inflammatory bowel disease.","volume":"57","author":"Hoentjen","year":"2012","journal-title":"Dig Dis Sci"},{"key":"R13-88-20260710","doi-asserted-by":"crossref","first-page":"756926","DOI":"10.1155\/2014\/756926","article-title":"Is CT angiogram of the abdominal vessels needed following the diagnosis of ischemic colitis? A multicenter community study.","volume":"2014","author":"Sherid","year":"2014","journal-title":"ISRN Gastroenterol"},{"issue":"12","key":"R14-88-20260710","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1177\/000313480607201220","article-title":"Ischemic proctitis: Case series and literature review.","volume":"72","author":"Sharif","year":"2006","journal-title":"Am Surg"},{"issue":"4","key":"R15-88-20260710","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1038\/sj.jhh.1001377","article-title":"Potential causes, mechanisms, and implications of post exercise hypotension.","volume":"16","author":"MacDonald","year":"2002","journal-title":"J Hum Hypertens"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:18:45Z","timestamp":1786547925000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.2017.88","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}