Difference between revisions of "Colonic cast"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = Colonic cast -- low mag.jpg | |||
| Width = | |||
| Caption = Colonic cast. [[H&E stain]]. (WC) | |||
| Synonyms = | |||
| Micro = ischemic colorectal wall (ghost-like crypts without nuclei, muscle without nuclei), mild inflammation | |||
| Subtypes = | |||
| LMDDx = [[infectious colitis]] | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = membranous material, fish bladder-like | |||
| Grossing = | |||
| Staging = | |||
| Site = [[colon]] | |||
| Assdx = [[ischemic colitis]], [[atherosclerosis]] | |||
| Syndromes = | |||
| Clinicalhx = typically post-AAA repair or after colorectal surgery | |||
| Signs = | |||
| Symptoms = | |||
| Prevalence = rare | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = [[fecal material]] | |||
| Tx = see ''[[ischemic colitis]]'' | |||
}} | |||
'''Colonic cast''', also '''colon cast''', is a soughed off fragment of colonic wall due to [[colonic ischemia]]. | '''Colonic cast''', also '''colon cast''', is a soughed off fragment of colonic wall due to [[colonic ischemia]]. | ||
==General== | ==General== | ||
*Rare. | *Rare. | ||
* | *Due to [[colonic ischemia]].<ref name=pmid25216411>{{Cite journal | last1 = Abe | first1 = S. | last2 = Yamaguchi | first2 = H. | last3 = Murono | first3 = K. | last4 = Kanazawa | first4 = T. | last5 = Ishihara | first5 = S. | last6 = Sunami | first6 = E. | last7 = Watanabe | first7 = T. | title = Passage of a sigmoid colon cast in a patient with ischemic colitis. | journal = Int Surg | volume = 99 | issue = 5 | pages = 500-5 | month = | year = | doi = 10.9738/INTSURG-D-14-00066.1 | PMID = 25216411 }}</ref> | ||
**Typically post-AAA repair or after colorectal surgery.<ref name=pmid17564753>{{Cite journal | last1 = Erguney | first1 = S. | last2 = Yavuz | first2 = N. | last3 = Ersoy | first3 = YE. | last4 = Teksoz | first4 = S. | last5 = Selcuk | first5 = D. | last6 = Ogut | first6 = G. | last7 = Dogusoy | first7 = G. | last8 = Alver | first8 = O. | title = Passage of "colonic cast" after colorectal surgery: report of four cases and review of the literature. | journal = J Gastrointest Surg | volume = 11 | issue = 8 | pages = 1045-51 | month = Aug | year = 2007 | doi = 10.1007/s11605-007-0194-z | PMID = 17564753 }}</ref> | **Typically post-AAA repair or after colorectal surgery.<ref name=pmid17564753>{{Cite journal | last1 = Erguney | first1 = S. | last2 = Yavuz | first2 = N. | last3 = Ersoy | first3 = YE. | last4 = Teksoz | first4 = S. | last5 = Selcuk | first5 = D. | last6 = Ogut | first6 = G. | last7 = Dogusoy | first7 = G. | last8 = Alver | first8 = O. | title = Passage of "colonic cast" after colorectal surgery: report of four cases and review of the literature. | journal = J Gastrointest Surg | volume = 11 | issue = 8 | pages = 1045-51 | month = Aug | year = 2007 | doi = 10.1007/s11605-007-0194-z | PMID = 17564753 }}</ref> | ||
| Line 11: | Line 43: | ||
DDx: | DDx: | ||
*[[Fecal material]]. | *[[Fecal material]]. | ||
===Images=== | |||
*[http://www.ejvesreports.com/cms/attachment/2022352350/2042078454/gr1_lrg.jpg Colonic cast (ejvesreports.com)].<ref>{{Cite journal | last1 = Anaspure | first1 = RS | last2 = Cheatle | first2 = TR | title = Spontaneous Passage of a ‘Colon Cast’ Following Aortic Bypass Operation: A Case Report | journal = EJVES Short Reports | volume = 9 | issue = 5 | pages = 96-97 | month = | year = 2005 | doi = 10.1016/j.ejvsextra.2005.02.016 | PMID = | PMC = | url = }}</ref> | |||
==Microscopic== | ==Microscopic== | ||
Features: | Features: | ||
*Ischemic colorectal wall. | *Ischemic colorectal wall. | ||
===Images=== | |||
<gallery> | |||
Image: Colonic cast -- extremely low mag.jpg | CC - extremely low mag. (WC) | |||
Image: Colonic cast -- very low mag.jpg | CC - very low mag. (WC) | |||
Image: Colonic cast -- low mag.jpg | CC - low mag. (WC) | |||
Image: Colonic cast -- intermed mag.jpg | CC - intermed. mag. (WC) | |||
</gallery> | |||
==IHC== | |||
*AE1/AE3, desmin - may be useful to delineate the morphology. | |||
==Sign out== | ==Sign out== | ||
Latest revision as of 12:23, 15 July 2016
| Colonic cast | |
|---|---|
| Diagnosis in short | |
 Colonic cast. H&E stain. (WC) | |
|
| |
| LM | ischemic colorectal wall (ghost-like crypts without nuclei, muscle without nuclei), mild inflammation |
| LM DDx | infectious colitis |
| Gross | membranous material, fish bladder-like |
| Site | colon |
|
| |
| Associated Dx | ischemic colitis, atherosclerosis |
| Clinical history | typically post-AAA repair or after colorectal surgery |
| Prevalence | rare |
| Prognosis | benign |
| Clin. DDx | fecal material |
| Treatment | see ischemic colitis |
Colonic cast, also colon cast, is a soughed off fragment of colonic wall due to colonic ischemia.
General
- Rare.
- Due to colonic ischemia.[1]
- Typically post-AAA repair or after colorectal surgery.[2]
Gross
- Membranous appearance; described as airbladder of fish-like.[3]
DDx:
Images
Microscopic
Features:
- Ischemic colorectal wall.
Images
CC - extremely low mag. (WC)
CC - very low mag. (WC)
CC - low mag. (WC)
CC - intermed. mag. (WC)
IHC
- AE1/AE3, desmin - may be useful to delineate the morphology.
Sign out
Submitted as "Colonic Cast": - Compatible with colorectal cast (necrotic partial colorectal wall with identifiable mucosa and submucosa). - NEGATIVE for malignancy.
See also
References
- ↑ Abe, S.; Yamaguchi, H.; Murono, K.; Kanazawa, T.; Ishihara, S.; Sunami, E.; Watanabe, T.. "Passage of a sigmoid colon cast in a patient with ischemic colitis.". Int Surg 99 (5): 500-5. doi:10.9738/INTSURG-D-14-00066.1. PMID 25216411.
- ↑ Erguney, S.; Yavuz, N.; Ersoy, YE.; Teksoz, S.; Selcuk, D.; Ogut, G.; Dogusoy, G.; Alver, O. (Aug 2007). "Passage of "colonic cast" after colorectal surgery: report of four cases and review of the literature.". J Gastrointest Surg 11 (8): 1045-51. doi:10.1007/s11605-007-0194-z. PMID 17564753.
- ↑ Yoshiji, H.; Nakae, D.; Sugiya, R.; Mizumoto, Y.; Tsutsumi, M.; Hiriguchi, K.; Yokose, Y.; Sakurai, R. et al. (Feb 1994). "Spontaneous passage of a colon cast in the absence of abdominal aneurysm.". J Gastroenterol 29 (1): 80-3. PMID 8199700.
- ↑ Anaspure, RS; Cheatle, TR (2005). "Spontaneous Passage of a ‘Colon Cast’ Following Aortic Bypass Operation: A Case Report". EJVES Short Reports 9 (5): 96-97. doi:10.1016/j.ejvsextra.2005.02.016.