A 63-year-old patient undergoing CAPD developed abdominal pain and rectal bleeding during an episode of hypotension. Endoscopy and histology showed severe colitis extending from the upper part of the rectum to the splenic flexure. Stool bacteriology was negative with regard to bacteria or fungi causing colitis. With correction of body weight and blood pressure the colitis improved rapidly. These observations support the diagnosis of nonocclusive, hypotensive ischemic colitis.
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