Ischemic colitis induced by the newly reformulated multicomponent weight-loss supplement Hydroxycut®

Figure 1 Computed tomography scan and histopathology. A, B: Computed tomography scan shows thickening of the colonic wall involving the descending colon (arrows); C, D: Histopathology shows: the overlying surface mucosa is eroded, the lamina propria is partially hyalinized with fibropurulent exudate and acute inflammation, consistent with ischemic colitis.

Figure 2 Colonoscopy shows. A: Normal mucosa of the right colon (hepatic flexure); B, C: Erythematous, edematous, erosive, and ulcerated mucosa of the splenic flexure of the colon, consistent with ischemic colitis; D: Normal mucosa of the sigmoid colon.