A Case Study and Review of Ischemic Colitis in a Pediatric Patient

1

Ischemic colitis is rare in preschool-aged children and can be misdiagnosed due to atypical symptoms, necessitating increased clinical awareness.
2

A 6-year-old boy presented with recurrent hematochezia and abdominal pain, leading to a diagnosis of ischemic colitis after excluding other conditions.
3

Colonoscopy revealed mucosal congestion and erosions, with pathology confirming chronic active inflammation in the colon.
4

The child was managed conservatively with bowel rest, intravenous fluids, and mucosal protective agents, resulting in complete symptom resolution.
5

This case highlights the importance of considering ischemic colitis in children with unexplained hematochezia and supports non-surgical management.