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[Colic occlusions: retrospective study of 62 cases]
Dakar Medical
|January 1, 1993
Summary
Colic occlusions, primarily caused by pelvic colon volvulus, present with abdominal distension and shock. Surgical intervention, mainly resection-anastomosis, is crucial, though late consultations impact outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Imaging
Context:
- A retrospective analysis of 62 colic occlusion cases treated at a Surgical Clinic between 1970 and 1984.
- The study examines patient demographics, clinical presentation, diagnostic methods, etiology, treatment, and outcomes.
- Focuses on the challenges and characteristics of colic occlusions in a specific clinical setting.
Purpose:
- To delineate the epidemiological and clinical profile of colic occlusions.
- To identify the primary etiological factors and assess the effectiveness of surgical management.
- To understand the contributing factors to the severity and mortality of the condition.
Summary:
- The study reviewed 62 colic occlusion cases, predominantly affecting males (3:2 ratio), aged 19-82.
- Key clinical signs included asymmetric abdominal ballooning (89%) and shock (58%). Abdominal plain films were diagnostic in 89% of cases.
- Pelvic colon volvulus was the main cause (83%), with resection-anastomosis being the primary surgical treatment, resulting in a 9.7% mortality rate.
Impact:
- Highlights the significant role of pelvic colon volvulus in colic occlusions.
- Emphasizes the importance of timely surgical intervention and adequate medical infrastructure.
- Suggests that late consultations and limited resources contribute to the severity and poorer outcomes observed.