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Acute colonic pseudo-obstruction.

P Veekmans1, P Broos, J Stuyck

  • 1Department of Radiology, University Hospitals KU Leuven, Belgium.

Journal Belge De Radiologie
|June 1, 1992
PubMed
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Acute colonic pseudo-obstruction, a condition mimicking bowel obstruction, can occur after orthopedic surgery. Early diagnosis via abdominal X-rays is crucial for successful patient recovery.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Radiology

Background:

  • Acute colonic pseudo-obstruction (ACPO) is a rare condition.
  • It presents as a functional obstruction without mechanical blockage.
  • Orthopedic surgery has been identified as a potential trigger.

Observation:

  • Two cases of ACPO following orthopedic surgery are presented.
  • One case was complicated by colonic perforation.
  • Patients presented with symptoms suggestive of bowel obstruction.

Findings:

  • Both patients were successfully treated with conservative management.
  • Plain abdominal X-rays were instrumental in diagnosing ACPO.
  • Radiographic findings aided in monitoring treatment progress.

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Implications:

  • This highlights the importance of considering ACPO in patients with abdominal symptoms post-orthopedic surgery.
  • Conventional X-ray techniques are vital for early diagnosis and management of ACPO.
  • Prompt diagnosis and treatment can lead to favorable outcomes and prevent complications like perforation.