2014

LETTERS TO THE EDITOR

OCTOBER 2014–VOL. 62, NO. 10

JAGS

present in the current case, and the diagnosis of ischemic colitis was excluded radiologically and histologically. In conclusion, UC should be among the differential diagnoses for not only chronic diarrhea, but also for constipation in elderly adults. Clinical presentation may not correlate with the severity of endoscopic findings. € € urk, MD Omer Ozt€ Seyfettin K€ okl€ u, MD Osman Y€ uksel, MD Department of Gastroenterology, School of Medicine, Hacettepe University, Ankara, Turkey

ACKNOWLEDGMENTS

Figure 1. Severe colitis on colonoscopy.

prevalence is highest between the second and fourth decades, and the second peak occurs in older adults.1,2 A 77-year-old woman was admitted to the gastroenterology department with a complaint of constipation for the previous 6 months. Past medical history was unremarkable. Physical examination was normal other than lower abdominal pain during deep palpation. Laboratory findings showed normal biochemical tests and hemoglobin 11.8 g/dL (normal 12.6–17.4 g/dL), sedimentation rate 23 mm/h (normal 0–25 mm/h), and C-reactive protein 0.4 mg/dL (normal