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Postoperative adhesions causing colon obstruction.

N W Agrawal, K Akdamar, M S Litwin

    The American Surgeon
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Post-pelvic surgery patients with chronic abdominal pain and constipation may have partial left colon obstruction due to adhesions. Surgical lysis of adhesions offers successful treatment for this previously unreported condition.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Gynecologic Surgery

    Background:

    • Pelvic surgery can lead to chronic abdominal pain, distention, and constipation in middle-aged women.
    • These symptoms are often misdiagnosed as psychosomatic disorders.

    Observation:

    • Four female patients with a history of pelvic surgery presented with chronic abdominal complaints.
    • Preoperative colonoscopic examination revealed partial left colon obstruction.

    Findings:

    • The obstruction was attributed to previously unreported postoperative adhesions.
    • Surgical intervention involving lysis of adhesions, reperitonealization, and colon repositioning proved successful.

    Implications:

    • This study identifies a new cause of post-pelvic surgery gastrointestinal distress.

    Related Experiment Videos

  • Recognizing and surgically treating adhesions can resolve debilitating symptoms and improve patient outcomes.