So Kin Wai, Tsui Hoi Ling, Tsang Kim Hung
Department of Radiology and Organ Imaging, United Christian Hospital, Hong Kong.
Eur J Case Rep Intern Med. 2021 Mar 26;8(3):002421. doi: 10.12890/2021_002421. eCollection 2021.
Colonic pseudo-obstruction is characterized by dilatation of the colon without a structural lesion causing the obstruction. It usually involves the caecum and right side of the colon and is commonly observed in patients with severe illness or after surgery; it is rarely caused by pheochromocytoma. The diagnosis of colonic pseudo-obstruction can be established by abdominal imaging including computed tomography (CT) of the abdomen or use of a water-soluble contrast enema. In additional to conservative or surgical treatment, alpha-blockers can be used in this setting to relieve the pseudo-obstruction.
Colonic pseudo-obstruction is a rare manifestation of pheochromocytoma.A typical radiological feature of colonic pseudo-obstruction is the presence of a gradual transition at the splenic flexure of the colon.Alpha-blockers can be used in this setting to relieve pseudo-obstruction.
结肠假性梗阻的特征是结肠扩张,而无导致梗阻的结构性病变。它通常累及盲肠和结肠右侧,常见于重症患者或手术后;很少由嗜铬细胞瘤引起。结肠假性梗阻的诊断可通过腹部影像学检查(包括腹部计算机断层扫描(CT))或使用水溶性造影剂灌肠来确立。除了保守治疗或手术治疗外,在此情况下可使用α受体阻滞剂来缓解假性梗阻。
结肠假性梗阻是嗜铬细胞瘤的一种罕见表现。结肠假性梗阻的典型放射学特征是结肠脾曲处存在逐渐过渡。在此情况下可使用α受体阻滞剂来缓解假性梗阻。