Spira I A, Rodrigues R, Wolff W I
Am J Gastroenterol. 1976 May;65(5):397-408.
"Pseudo-obstruction of the colon" refers to a condition in which physical and radiological findings identical to those associated with mechanical obstruction of the large bowel are found but in which no organic cause for the colonic distention is present. These cases may involve progressive proximal large bowel dilatation to the point of cecal perforation or necrosis. We have collected eight cases of our own which will be presented. The various etiologic factors reported in the literature will be discussed and analyzed and we will offer an anatomicophysiologic explanation of a possible mechanism, based on sympathetic-parasympathetic neurostimulatory imbalance.
“结肠假性梗阻”是指一种情况,即发现其体格检查和影像学检查结果与大肠机械性梗阻相关的表现相同,但不存在导致结肠扩张的器质性病因。这些病例可能会出现近端大肠进行性扩张,直至盲肠穿孔或坏死。我们收集了8例自身病例并将予以展示。将对文献中报道的各种病因进行讨论和分析,并基于交感神经 - 副交感神经神经刺激失衡,对一种可能的机制提供解剖生理学解释。