Ritschard T, Filippini L
Schweiz Med Wochenschr. 1985 May 4;115(18):614-9.
Four patients with acute colonic pseudo-obstruction are described. The clinical and radiological picture is suggestive of colonic obstruction, without detectable organic obstruction. The syndrome usually occurs after surgery or trauma, or is related to severe preexisting systemic illness; its association with alcohol intake is frequently overlooked. The most severe complication is cecal rupture, which may occur at a diameter of 12 cm or more and which has a lethality rate of 40%. The primary management of colonic pseudo-obstruction is conservative, and includes an attempt at colonoscopic decompression; in most cases cecostomy can be avoided.
本文描述了4例急性结肠假性梗阻患者。临床和放射学表现提示结肠梗阻，但未发现器质性梗阻。该综合征通常发生在手术或创伤后，或与严重的全身性基础疾病有关；其与酒精摄入的关联常常被忽视。最严重的并发症是盲肠破裂，当盲肠直径达到12厘米或更大时可能发生，致死率为40%。结肠假性梗阻的主要治疗方法是保守治疗，包括尝试结肠镜减压；在大多数情况下可避免行盲肠造口术。
