Passage of a large bowel cast caused by acute ischemia - Report of two cases

被引:9
作者
Ardigo, GJ
Longstreth, GF
Weston, LA
Walker, FD
机构
[1] Kaiser Permanente Med Care Program, Dept Med, San Diego, CA USA
[2] Kaiser Permanente Med Care Program, Dept Surg, San Diego, CA USA
[3] Kaiser Permanente Med Care Program, Dept Pathol, San Diego, CA USA
关键词
bowel ischemia; bowel cast; aortic surgery; pancreatitis;
D O I
10.1007/BF02236272
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
PURPOSE: We report two cases of spontaneous anal passage of a large bowel 'cast' caused by acute ischemic injury. METHODS: Clinical, laboratory, endoscopic, and pathologic features were reviewed, and the literature was searched for similar cases. RESULTS: An 85-year-old male who had undergone aortic surgery recovered from rectosigmoid ischemia after undergoing a descending colostomy. A 74-year-old male with severe pancreatitis developed a postischemic sigmoid stricture but did not have operative treatment before death of pneumonia three months after the episode. A literature review revealed six cases of passage of a large bowel cast. In the eight total patients, infarcted muscularis propria was found in seven specimens, five patients had a diversion procedure, and seven survived. CONCLUSION: Passage of a large bowel cast is an extraordinary complication of ischemia that often requires diverting surgery, and most patients survive the ischemic injury.
引用
收藏
页码:793 / 796
页数:4
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