Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie's syndrome |
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Authors: | Chevallier Patrick Marcy Pierre-Yves Francois Eric Peten Emmanuel P Motamedi Jean-Paul Padovani Bernard Bruneton Jean-Noël |
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Affiliation: | Department of Radiology, Centre Hospitalier Régional et Universitaire de Nice, H?pital Archet II, France. |
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Abstract: | 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. |
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