Spontaneous Passage of a ‘Colon Cast’ Following Aortic Bypass Operation: A Case Report

Anaspure, Rahul; Cheatle, T. R.

doi:10.1016/j.ejvsextra.2005.02.016

Cited by 1 publication

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 The preservation of the rectum, at least of its outer layer, may be explained by the knowledge that its muscular layer is supplied by the middle rectal artery derived from the internal iliac artery. 2,7,13 Case 4 of this article is the 10th reported example of such a transmural necrosis without the development of acute peritonitis. The ischemia in this case was presumably due to the sacrifice of the IMA while preserving the proximal segment of the left colon (Table 1).…”

Section: Discussionmentioning

confidence: 88%

“…This situation represents a less severe form of acute colonic ischemia, and it must be encountered far more then reported. Cases 2 and 3 and [12][13][14] These occurrences were respectively attributed to chronic constipation and colonic stenosis (itself probably secondary to chronic ischemia), 12 to the use of an electrical muscle stimulation device in a patient with preexisting atherosclerosis and atrial fibrillation, 14 and to the repair of an abdominal aortic aneurysm. 13 In the present study, ischemia leading to the passage of mucosal cast was secondary to a colorectal resection in all three cases (Table 1).…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Passage of “Colonic Cast” after Colorectal Surgery: Report of Four Cases and Review of the Literature

Ergüney

Yavuz

Ersoy

et al. 2007

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Anal passage of a full-thickness infarcted colonic segment (so-called "cast") not accompanied by any features of acute peritonitis is a very rare occurrence and may be the main advertising manifestation of acute colonic ischemia. Most of the reported cases of acute colonic ischemia are secondary to abdominal aortic aneurysms and ensuing inferior mesenteric artery thrombosis or to the repair of these aneurysms. The preceding events causing ischemia in other cases are Hartmann reversal, rectal resection and colonic J-pouch construction, and acute pancreatitis. In this article we present our experience on four cases of colonic cast passage, all of which developed subsequent to colorectal resection. Three of these casts are supposed to be mucosal and one is transmural. Generally, surgery is the rule and consists of the resection of the concerned ischemic segment. Every clinician should be aware of this form of presentation of bowel ischemia, not only following aneurysm surgery but also in the postoperative course of colorectal surgery.

show abstract

Section: Discussionmentioning

confidence: 88%