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[Pseudo-obstruction and colonic ischemia].
Annales De Gastroenterologie Et D'Hepatologie
|July 1, 1984
Summary
This case study highlights a rare complication of colonic pseudo-obstruction: patent-vessel ischemia. Early surgical intervention is crucial to prevent bowel ischemia in these patients.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Colonic pseudo-obstruction, a condition mimicking mechanical blockage, can lead to serious complications.
- Schizophrenia is a predisposing factor in some cases of pseudo-obstruction.
Observation:
- A 78-year-old male with schizophrenia presented with pseudo-obstruction of the colon.
- Pneumoperitoneum without peritonitis or gastrointestinal perforation was incidentally discovered.
- The patient underwent sub-total colectomy.
Findings:
- Post-operative diagnosis of patent-vessel ischemia complicating the pseudo-obstruction.
- Ischemia of the distended bowel wall is a recognized, albeit rare, complication.
Implications:
- This case underscores the importance of considering vascular complications in pseudo-obstruction.
- Prompt surgical evaluation and intervention are recommended to prevent bowel ischemia.