Colonic cast
Jump to navigation
Jump to search
The printable version is no longer supported and may have rendering errors. Please update your browser bookmarks and please use the default browser print function instead.
Colonic cast, also colon cast, is a soughed off fragment of colonic wall due to colonic ischemia.
| 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 |
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.