Difference between revisions of "Colonic pseudo-obstruction"
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'''Colonic pseudo-obstruction''' is an uncommon pathology of the colon that rarely comes to pathology. | '''Colonic pseudo-obstruction''' is an uncommon pathology of the colon that rarely comes to pathology. | ||
'''Ogilvie's syndrome''' is an acute colonic pseudo-obstruction.<ref>{{Cite journal | last1 = Munzar | first1 = Z. | last2 = Munir | first2 = TA. | last3 = Asad | first3 = M. | title = Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section. | journal = J Coll Physicians Surg Pak | volume = 23 | issue = 4 | pages = 298-300 | month = Apr | year = 2013 | doi = 04.2013/JCPSP.298300 | PMID = 23552546 }} | |||
</ref><ref name=pmid21601169>{{Cite journal | last1 = Shakir | first1 = AJ. | last2 = Sajid | first2 = MS. | last3 = Kianifard | first3 = B. | last4 = Baig | first4 = MK. | title = Ogilvie's syndrome-related right colon perforation after cesarean section: a case series. | journal = Kaohsiung J Med Sci | volume = 27 | issue = 6 | pages = 234-8 | month = Jun | year = 2011 | doi = 10.1016/j.kjms.2010.11.006 | PMID = 21601169 }}</ref> | |||
==General== | ==General== | ||
| Line 7: | Line 9: | ||
*May lead to perforation. | *May lead to perforation. | ||
*Associated with chronic illness. | *Associated with chronic illness. | ||
*It is essentially a [[clinical diagnosis]]. | |||
==Gross== | ==Gross== | ||
* | *Classically - left side lesion.<ref name=pmid21679643/> | ||
*Luminal dilation, marked. | |||
<gallery> | |||
Image:Ogilvie_ct_coronal.jpg | Ogilvie syndrome. (WC) | |||
</gallery> | |||
==Microscopic== | ==Microscopic== | ||
Features:<ref name=pmid21679643>{{Cite journal | last1 = Choe | first1 = EK. | last2 = Park | first2 = SH. | last3 = Park | first3 = KJ. | title = Colonic pseudo-obstruction with distinct transitional zone in adult constipation patients: pathological analysis and results of surgical treatment. | journal = Am Surg | volume = 77 | issue = 6 | pages = 736-42 | month = Jun | year = 2011 | doi = | PMID = 21679643 }}</ref> | Features:<ref name=pmid21679643>{{Cite journal | last1 = Choe | first1 = EK. | last2 = Park | first2 = SH. | last3 = Park | first3 = KJ. | title = Colonic pseudo-obstruction with distinct transitional zone in adult constipation patients: pathological analysis and results of surgical treatment. | journal = Am Surg | volume = 77 | issue = 6 | pages = 736-42 | month = Jun | year = 2011 | doi = | PMID = 21679643 }}</ref> | ||
*Hypoganglionosis. ??? | *Hypoganglionosis. ??? | ||
==Sign out== | |||
<pre> | |||
COLON, SUBTOTAL COLECTOMY: | |||
- BOWEL WALL THINNING WITH ASSOCIATED MUCOSAL NECROSIS WITH SIDEROPHAGES. | |||
- MINIMAL ATHEROSCLEROSIS. | |||
- NO APPARENT VASCULAR THROMBOSIS. | |||
- THREE BENIGN LYMPH NODES ( 0 POSITIVE / 3 ). | |||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | |||
==See also== | ==See also== | ||
*[[Colon]]. | *[[Colon]]. | ||
*[[Large bowel obstruction]]. | |||
==References== | ==References== | ||
Latest revision as of 21:57, 27 July 2014
Colonic pseudo-obstruction is an uncommon pathology of the colon that rarely comes to pathology.
Ogilvie's syndrome is an acute colonic pseudo-obstruction.[1][2]
General
- Uncommon seen in pathology.
- Usually managed conservatively.[3]
- May lead to perforation.
- Associated with chronic illness.
- It is essentially a clinical diagnosis.
Gross
- Classically - left side lesion.[4]
- Luminal dilation, marked.
Ogilvie syndrome. (WC)
Microscopic
Features:[4]
- Hypoganglionosis. ???
Sign out
COLON, SUBTOTAL COLECTOMY: - BOWEL WALL THINNING WITH ASSOCIATED MUCOSAL NECROSIS WITH SIDEROPHAGES. - MINIMAL ATHEROSCLEROSIS. - NO APPARENT VASCULAR THROMBOSIS. - THREE BENIGN LYMPH NODES ( 0 POSITIVE / 3 ). - NEGATIVE FOR MALIGNANCY.
See also
References
- ↑ Munzar, Z.; Munir, TA.; Asad, M. (Apr 2013). "Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section.". J Coll Physicians Surg Pak 23 (4): 298-300. doi:04.2013/JCPSP.298300. PMID 23552546.
- ↑ Shakir, AJ.; Sajid, MS.; Kianifard, B.; Baig, MK. (Jun 2011). "Ogilvie's syndrome-related right colon perforation after cesarean section: a case series.". Kaohsiung J Med Sci 27 (6): 234-8. doi:10.1016/j.kjms.2010.11.006. PMID 21601169.
- ↑ Durai, R. (Mar 2009). "Colonic pseudo-obstruction.". Singapore Med J 50 (3): 237-44. PMID 19352564.
- ↑ 4.0 4.1 Choe, EK.; Park, SH.; Park, KJ. (Jun 2011). "Colonic pseudo-obstruction with distinct transitional zone in adult constipation patients: pathological analysis and results of surgical treatment.". Am Surg 77 (6): 736-42. PMID 21679643.