RT Journal Article SR Electronic T1 Clinical approach to colonic ischemia JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 401 OP 409 DO 10.3949/ccjm.76a.08089 VO 76 IS 7 A1 Elder, Kareem A1 Lashner, Bret A. A1 Al Solaiman, Firas YR 2009 UL http://www.ccjm.org/content/76/7/401.abstract AB Typical clinical manifestations of colonic ischemia include rapid onset of mild abdominal pain and tenderness over the affected bowel, followed by a mild amount of hematochezia within a day of the onset of pain. Most patients have transient, nongangrenous ischemia, but some have severe ischemia.