Colonic pseudo-obstruction

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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.

Microscopic

Features:[4]

  • Hypoganglionosis. ???

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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

  1. 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.
  2. 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.
  3. Durai, R. (Mar 2009). "Colonic pseudo-obstruction.". Singapore Med J 50 (3): 237-44. PMID 19352564.
  4. 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.