Abbes M, Lecomte P, Isman H, Alfonsi J P, Birtwisle Y
Sem Hop. 1982 May 20;58(20):1264-7.
The authors relate a case of acute functional obstruction, appearing after treatment of a cancer of rectum with extension to prevertebral plexus. The cause of the colic trouble appears to be neurological and due to a sympathetic and parasympathetic transmission block, while intrincic plexus was normal. Inefficacy of the contractions was established by radiology and endoscopy (electrical and pharmacodynamic stimulation and measure of pressure); it predominated in the left transverse colon. Caecal perforation has been avoided up till now after two years, without modification of clinical course, the patient evacuated his colon with the help of enemas. It seems probable that this case can be classified as Ogilvie's syndrome, the bibliography of which has been looked up and criticized.
作者讲述了一例急性功能性梗阻病例,该病例出现在直肠癌侵犯至椎前神经丛并接受治疗之后。绞痛问题的原因似乎是神经性的,是由于交感神经和副交感神经传导阻滞,而肠壁内神经丛正常。通过放射学和内镜检查(电刺激、药物动力学刺激及压力测量)确定了收缩功能无效;这种无效在左横结肠最为明显。到目前为止,两年过去了,盲肠穿孔得以避免,临床病程未发生变化,患者借助灌肠剂排出结肠内容物。该病例很可能可归类为奥吉尔维综合征,已查阅并评析了其相关文献。