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Colitis Proximal to Obstructing Colonic Carcinoma

Colitis Proximal to Obstructing Colonic Carcinoma Abstract Nonspecific colitis proximal to an obstructing colonic carcinoma has appeared in the surgical literature for over 20 years, but it remains an uncommon and difficult clinical problem. This report details the case histories of five patients with this entity who have been admitted to the surgical service of Presbyterian Hospital since 1967. The colitis described is clearly related to the obstructive lesion and does not represent chronic inflammatory colitis in association with a carcinoma. The patients may initially have symptoms secondary to the obstructing lesion or fulminant peritoneal signs secondary to the colitis. The roentgenographic appearance is typical and closely resembles that seen in colonic ischemia. The pathologic process varies from fibrosis and stricture formation to transmural necrosis and perforation. References 1. Addleman W: Obstructing carcinoma with acute proximal ulcerative colitis . Am J Gastroenterol 40:174-178, 1963. 2. Ambruoso VN, Feraru F: Massive gangrene of the colon due to distal obstruction . Surgery 61:228-230, 1967. 3. Glotzer DJ, Roth SI, Welch CE: Colonic ulceration proximal to obstructing carcinoma . Surgery 56:950-956, 1964. 4. Herrmann JW, Paine JR, Stubbe HJ: Acute obstruction with gangrene of the colon secondary to carcinoma of the sigmoid . Surgery 57:647-650, 1965. 5. Hurwitz A, Khafif RA: Acute necrotizing colitis proximal to obstructing neoplasms of the colon . Surg Gynecol Obstet 111:749-752, 1960. 6. Senturia HR, Wald SM: Ulcerative disease of the intestinal tract proximal to partially obstructing lesions . Am J Roentgenol Radium Ther Nucl Med 99:45-51, 1967.Crossref 7. Van Zwalenburg C: Strangulation resulting from distension of hollow viscera . Ann Surg 46:780-786, 1907.Crossref 8. Boley SJ, Schwartz SS: Colitis complicating carcinoma of the colon , in Boley SJ, Schwartz SS (eds): Vascular Disorders of the Intestine . New York, Meredith Corp, 1971, chap 40. 9. Dencker H, Lingardh G, Muth T, et al: Massive gangrene of the colon secondary to carcinoma of the rectum: Case report . Acta Chir Scand 135:357-361, 1969. 10. Glotzer DJ, Pihl BG: Experimental obstructive colitis . Arch Surg 92:1-8, 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Colitis Proximal to Obstructing Colonic Carcinoma

Archives of Surgery , Volume 110 (9) – Sep 1, 1975

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360150077014
Publisher site
See Article on Publisher Site

Abstract

Abstract Nonspecific colitis proximal to an obstructing colonic carcinoma has appeared in the surgical literature for over 20 years, but it remains an uncommon and difficult clinical problem. This report details the case histories of five patients with this entity who have been admitted to the surgical service of Presbyterian Hospital since 1967. The colitis described is clearly related to the obstructive lesion and does not represent chronic inflammatory colitis in association with a carcinoma. The patients may initially have symptoms secondary to the obstructing lesion or fulminant peritoneal signs secondary to the colitis. The roentgenographic appearance is typical and closely resembles that seen in colonic ischemia. The pathologic process varies from fibrosis and stricture formation to transmural necrosis and perforation. References 1. Addleman W: Obstructing carcinoma with acute proximal ulcerative colitis . Am J Gastroenterol 40:174-178, 1963. 2. Ambruoso VN, Feraru F: Massive gangrene of the colon due to distal obstruction . Surgery 61:228-230, 1967. 3. Glotzer DJ, Roth SI, Welch CE: Colonic ulceration proximal to obstructing carcinoma . Surgery 56:950-956, 1964. 4. Herrmann JW, Paine JR, Stubbe HJ: Acute obstruction with gangrene of the colon secondary to carcinoma of the sigmoid . Surgery 57:647-650, 1965. 5. Hurwitz A, Khafif RA: Acute necrotizing colitis proximal to obstructing neoplasms of the colon . Surg Gynecol Obstet 111:749-752, 1960. 6. Senturia HR, Wald SM: Ulcerative disease of the intestinal tract proximal to partially obstructing lesions . Am J Roentgenol Radium Ther Nucl Med 99:45-51, 1967.Crossref 7. Van Zwalenburg C: Strangulation resulting from distension of hollow viscera . Ann Surg 46:780-786, 1907.Crossref 8. Boley SJ, Schwartz SS: Colitis complicating carcinoma of the colon , in Boley SJ, Schwartz SS (eds): Vascular Disorders of the Intestine . New York, Meredith Corp, 1971, chap 40. 9. Dencker H, Lingardh G, Muth T, et al: Massive gangrene of the colon secondary to carcinoma of the rectum: Case report . Acta Chir Scand 135:357-361, 1969. 10. Glotzer DJ, Pihl BG: Experimental obstructive colitis . Arch Surg 92:1-8, 1966.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1975

References