Difference between revisions of "Colonic cast"

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'''Colonic cast''' is a soughed off fragment of colonic wall due to [[colonic ischemia]].
{{ 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]].


==General==
==General==
*Rare.
*Rare.
*Form 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>
*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>


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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

Gross

  • Membranous appearance; described as airbladder of fish-like.[3]

DDx:

Images

Microscopic

Features:

  • Ischemic colorectal wall.

Images

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

  1. 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.
  2. 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.
  3. 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.
  4. 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.