Severe Ischemic Colitis in A Patient with Melas Syndrome

MELAS syndrome is a genetic mitochondrial myopathy affecting less than 0.05% of people, which occurs with encephalomyopathy, lactic acidosis and cerebral ischemia [1]. Although it has a variable phenotypic expression, the predominant digestive manifestations [2,3] are constipation and pseudo-obstruction which are infrequent and occasionally serious. We present a patient with MELAS syndrome and the digestive disorder chronic ischemic colitis following intestinal obstruction due to fecaloma.