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Related Experiment Videos

Acute large-bowel pseudo-obstruction.

A M Gilchrist, J O Mills, C G Russell

    Clinical Radiology
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Acute large-bowel pseudo-obstruction presents with atypical symptoms and serious illness. Prompt diagnosis via imaging and conservative management are key to avoiding surgery and perforation risks.

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    Area of Science:

    • Gastroenterology
    • Radiology
    • Surgical Pathology

    Background:

    • Acute large-bowel pseudo-obstruction is a rare condition mimicking mechanical obstruction.
    • Often associated with severe underlying conditions, including trauma.
    • Clinical presentation can be atypical, delaying diagnosis.

    Purpose of the Study:

    • To review the clinical and radiological features of acute large-bowel pseudo-obstruction.
    • To evaluate diagnostic accuracy of imaging modalities.
    • To recommend optimal management strategies.

    Main Methods:

    • Retrospective review of 13 patients diagnosed with acute large-bowel pseudo-obstruction over 7 years.
    • Analysis of clinical presentations, concomitant illnesses, and radiological findings.

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  • Correlation of imaging findings with surgical or autopsy diagnoses.

    • Main Results:

    • Predominant radiological findings included gross colonic dilatation, minimal fluid levels, and normal rectal gas/fecal patterns.
    • Plain film and barium enema correctly diagnosed 9 out of 13 cases.
    • Three cases diagnosed intraoperatively could have been identified pre-operatively with review.

    Conclusions:

    • Early recognition of characteristic radiological signs is crucial.
    • Barium enema is recommended for equivocal cases to exclude distal obstruction.
    • Conservative management with close monitoring can prevent unnecessary surgery and complications like cecal perforation.