Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie's syndrome.
Acute colonic pseudo-obstruction, the so-called Ogilvie's syndrome, results in massive colonic dilation without mechanical obstruction. In most cases, a conservative treatment with or without endoscopic decompression is sufficient. In rare cases of relapses or failures, a cecostomy has to be performed. A surgical cecostomy is associated with high morbidity and mortality. However, a percutaneous cecostomy could be an interesting alternative treatment. We report the case of a 67-yr-old male with colonic pseudoobstruction for which both the conservative and the endoscopic treatments were unsuccessful. A percutaneous cecostomy was performed, and for the first time in this indication, a transperitoneal access was used with the help of nylon T-fasteners.
Chevallier
Patrick
P
Department of Radiology, Centre Hospitalier Régional et Universitaire de Nice, Hĵpital Archet II, France.
Marcy
Pierre-Yves
PY
Francois
Eric
E
Peten
Emmanuel P
EP
Motamedi
Jean-Paul
JP
Padovani
Bernard
B
Bruneton
Jean-Noël
JN
D000368:Aged; D002431:Cecostomy / Q000379:methods*; D003112:Colonic Pseudo-Obstruction / Q000175:diagnosis* / Q000628:therapy*; D019299:Decompression, Surgical / Q000379:methods; D004724:Endoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome