title: [Pseudo-obstruction and colonic ischemia].
abstract: We report the case of a 78 year old male schizophrenic with pseudo-obstruction of the colon complicated by patent-vessel ischaemia that was diagnosed after sub-total colectomy. Surgery was motivated by the chance discovery of a pneumo-peritoneum without peritonitis and without any evidence of perforation in the gastro-intestinal tract. We believe that early surgery is required in patients with pseudo-obstruction of the colon, to prevent complications such as ischaemia of the distended bowel wall which, though rare, is also well recognised.
mesh_terms: D000368:Aged; D003106:Colon / Q000098:blood supply* / Q000473:pathology; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis*; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis* / Q000473:pathology; D007511:Ischemia / Q000473:pathology*; D008297:Male; D011027:Pneumoperitoneum / Q000209:etiology
vernacular_title: Pseudo-obstruction et ischémie colique.