[Colonic pseudo-obstruction associated with diffuse digestive and vesical motor anomalies. Apropos of 2 cases].
Two patients with acute colectasia, and acute urinary retention following pregnancy (case n. 1) and Klebsiellae septicemia (case n. 2) requiring endoscopic exsufflation in both cases, were seen. At onset, both patients had esophageal and anorectal manometric abnormalities with right colonic transit delay, and in case n. 2 urodynamic perturbation. Several months later, abnormalities disappeared in case 1, but remained unchanged in case 2. Jejunal manometry performed in case 2 showed decreased interdigestive complex frequency. These data suggest that: 1) acute colectasia may be major expression of digestive and urinary motility disorders, 2) acute colectasia can be the first symptom of a chronic disease, suggesting the usefulness of manometric studies in these patients, once the acute episode is over.
Guillemot
F
F
Groupe de Biochimie et de Physiopathologie Digestive et Nutritionnelle, UER Médecine-Pharmacie, Saint-Etienne-du-Rouvray.
Touchais
J Y
JY
Weber
J
J
Ducrotté
P
P
Lerebours
E
E
Colin
R
R
Denis
P
P
D000328:Adult; D003112:Colonic Pseudo-Obstruction / Q000150:complications*; D004064:Digestive System / Q000503:physiopathology*; D004066:Digestive System Diseases / Q000150:complications / Q000503:physiopathology; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005769:Gastrointestinal Motility; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000150:complications*; D001743:Urinary Bladder / Q000503:physiopathology*; D001745:Urinary Bladder Diseases / Q000150:complications / Q000503:physiopathology*; D014563:Urodynamics
Pseudo-obstruction colique associée à des anomalies motrices diffuses digestives et vésicales. A propos de deux cas.