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[Pseudo-obstruction and colonic ischemia].

R Chabloz, R Cavin, P Sagara

    Annales De Gastroenterologie Et D'Hepatologie
    |July 1, 1984
    PubMed
    Summary
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    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.

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  • Prompt surgical evaluation and intervention are recommended to prevent bowel ischemia.