Case Report Highlights Rare Association: Progesterone-Only Contraceptive may Induce Ischemic Colitis

USA: In a noteworthy development in the field of gastroenterology, a recently published case report has shed light on a rare but potentially significant association between the use of progesterone-only contraceptives and the development of ischemic colitis, a condition characterized by inflammation and injury to the colon due to reduced blood flow.
In the case study published in ACG Case Reports Journal, the researchers have reported a unique case of biopsy-confirmed ischemic colitis (IC) in a previously healthy 30-year-old woman who presented with abdominal pain and bloody diarrhea two months after initiation of progesterone-only oral contraceptive.
The case report underscores the importance of vigilance in recognizing and managing adverse effects of commonly used medications.
The case concerns a 30-year-old white woman with no significant medical history presented to the emergency department with a 3-week history of worsening crampy abdominal pain, bloody diarrhea, and nausea. She denied any history of alcohol usage or smoking. Her vital signs on admission were stable. Abdominal examination was positive for normal bowel sounds and diffuse tenderness to palpation but was negative for guarding or rigidity. Her only medication was progesterone-only contraceptives for the past two months.
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