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Acute necrotizing colitis and obstruction.

Authors
  • Teasdale, C
  • Mortensen, N J
Type
Published Article
Journal
The British journal of surgery
Publication Date
Jan 01, 1983
Volume
70
Issue
1
Pages
44–47
Identifiers
PMID: 6824882
Source
Medline
License
Unknown

Abstract

Acute necrotizing colitis is a rare complication of colonic obstruction. Six cases occurring during a 20-month period are described. The presenting features were those of colonic obstruction with shock but without perforation. At laparotomy changes ranged from mucosal necrosis to frank gangrene in the colon proximal to the obstructing lesion. Gram stains of resected colon showed Gram-positive bacilli, resembling clostridia, invading the mucosa and submucosa. Two patients treated by defunctioning colostomy alone died but the remaining 4 survived after total colectomy. The cause is not known but raised intraluminal pressure may result in terminal mucosal ischaemia allowing anaerobic organisms to invade the bowel wall.

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