Rectal Ischemia Mimicked Tumor Mass

Ischemic proctitis is a rare disease which is usually encountered in elderly with comorbidities. We present a case of an 80-year old man with severe coronary disease who presented with severe hematochezia and hypotension. Endoscopy revealed a rectal mass 3-4 cm above the dental line and rectosigmoid mucosal inflammation compatible with ischemic colitis. The rectal insult was so intense that it resembled a neoplasmatic lesion. We discuss the causes, the prognostic factors, and the clinical and therapeutic challenges of this rare, albeit life-threatening entity, and we review the relative literature. A percentage of 10%–20% of patients with ischemic colitis usually have a distal potentially obstructing lesion or disorder such as cancer, diverticulitis or fecal impaction. Ischemic colitis, when mucosal and submucosal edema is severe and hemorrhagic nodules are large enough, can mimic a neoplasmatic lesion. The best treatment approach is a conservative management initially with a close clinical followup and after stabilization a repetition of rectal endoscopy with new biopsies. Early recognition of this clinical entity is of paramount importance to implement appropriate therapy (conservative or surgical) and avoid potentially fatal treatment of presumed inflammatory or infectious bowel diseases

A GIS-Cellular Automata-Based Model for Coupling Urban Sprawl and Flood Susceptibility Assessment

In Urban Planning (UP), it is necessary to take under serious consideration the inhibitors of the spread of a settlement in a specific direction. This means that all those parameters for which serious problems may arise in the future should be considered. Among these parameters are geo-hazards, such as floods, landslides, mud movement, etc. This study deals with UP taking into account the possibility of widespread flooding in settlement expansion areas. There is a large flooding history in Greece, which is accompanied by a significant number of disasters in different types of land use/land cover, with a large financial cost of compensation and/or rehabilitation. The study area is the drainage basin of Erasinos River in the Attica Region, where many and frequent flood events have been recorded. The main goal of this study is to determine the flood susceptibility of the study area, taking into account possible factors that are decisive in flood occurrence. Furthermore, the flood susceptibility is also determined, taking into account the scenarios of precipitation and the urban sprawl scenario in the area of reference. The study of flood events uses the Analytic Hierarchy Process (AHP) model and the urban sprawl model SLEUTH, which calibrates historical urban growth, using open and cost-free data and software. Eventually, flood susceptibility maps were overlaid with future urban areas to find the vulnerable areas. Following, three scenarios of flood susceptibility with the corresponding susceptibility maps and vulnerability maps, which measure the flood susceptibility of the current and future urban space of the study area, are presented. The results have shown significant peaks in the moderate class of flood susceptibility, while, in the third scenario, high values of flood susceptibility seem to appear. The proposed methodology and specifically the output maps can serve as a decision support tool to assist urban planners and hazard managers in making informed decisions towards sustainable urban planning

A GIS-Cellular Automata-Based Model for Coupling Urban Sprawl and Flood Susceptibility Assessment

In Urban Planning (UP), it is necessary to take under serious consideration the inhibitors of the spread of a settlement in a specific direction. This means that all those parameters for which serious problems may arise in the future should be considered. Among these parameters are geo-hazards, such as floods, landslides, mud movement, etc. This study deals with UP taking into account the possibility of widespread flooding in settlement expansion areas. There is a large flooding history in Greece, which is accompanied by a significant number of disasters in different types of land use/land cover, with a large financial cost of compensation and/or rehabilitation. The study area is the drainage basin of Erasinos River in the Attica Region, where many and frequent flood events have been recorded. The main goal of this study is to determine the flood susceptibility of the study area, taking into account possible factors that are decisive in flood occurrence. Furthermore, the flood susceptibility is also determined, taking into account the scenarios of precipitation and the urban sprawl scenario in the area of reference. The study of flood events uses the Analytic Hierarchy Process (AHP) model and the urban sprawl model SLEUTH, which calibrates historical urban growth, using open and cost-free data and software. Eventually, flood susceptibility maps were overlaid with future urban areas to find the vulnerable areas. Following, three scenarios of flood susceptibility with the corresponding susceptibility maps and vulnerability maps, which measure the flood susceptibility of the current and future urban space of the study area, are presented. The results have shown significant peaks in the moderate class of flood susceptibility, while, in the third scenario, high values of flood susceptibility seem to appear. The proposed methodology and specifically the output maps can serve as a decision support tool to assist urban planners and hazard managers in making informed decisions towards sustainable urban planning