case_images: PMC5137644_01
case_images: Histological appearances of the colon: partial to full-thickness (arrow) ischaemic mucosal necrosis and submucosal oedema (x10 magnification) (A); haemorrhagic necrosis of the mucosa in areas (x20 magnification) (B), and extension of inflammation and oedema into the muscularis propria (x20 magnification) (C)
case_images: 003588414x13824511649733-1.jpg
case_images: PMC5137644_01_003588414x13824511649733-1.jpg
case_images: fig1
case_images: Histological examination showed extensive ischaemic change in the colonic wall with minimal inflammation and normal blood vessels (Fig 1).
case_images: Gomori trichrome preparation showing scattered 'ragged red' fibres
case_images: 003588414x13824511649733-2.jpg
case_images: PMC5137644_01_003588414x13824511649733-2.jpg
case_images: fig2
case_images: A subsequent skeletal muscle biopsy revealed ragged red fibres (Fig 2), cytochrome c oxidase-negative fibres, succinate dehydrogenase hyperreactive blood vessels and paracrystalline arrays in mitochondria.