Spontaneous passage of a colon cast in the absence of abdominal aneurysm
- 1 January 1994
- journal article
- case report
- Published by Springer Science and Business Media LLC in The Esophagus
- Vol. 29 (1), 80-83
- https://doi.org/10.1007/bf01229079
Abstract
The spontaneous passage of colon cast from a 76-year-old Japanese female patient is reported. Macroscopically, the colon cast was shaped like the airbladder of a fish. Histopathologically, the cast consisted of degenerated colonal mucosa, including glands. No inflammatory reaction was apparent. The patient lacked any evidence of abdominal aneurysm. Since there have been only five reported cases of colon cast in the literature, and since in all of those association with abdominal aneurysms was always described, the present study represents the first report demonstrating the formation of a colon cast in the absence of associated abdominal aneurysm. However, the patient was found to exhibit several risk factors for ischemic colitis, such as arteriosclerosis on the wall of the abdominal aorta, chronic constipation, and colonic stenosis. Her colonal mucosal surface, indeed, suggested ischemie colitis. This case report, therefore, indicates that ischemic colitis, due to various causes, may be responsible for the formation of colon casts, and that the presence of an abdominal aneurysm is not necessarily a prerequisite for colon cast formation. This report may contribute to a better understanding of the pathogenesis of colon casts.Keywords
This publication has 6 references indexed in Scilit:
- Passage of a colon ‘cast’ after anoabdominal rectal resectionDiseases of the Colon & Rectum, 1990
- Passage of a colon cast following replacement of the abdominal aorta due to aneurysm.Nihon Daicho Komonbyo Gakkai Zasshi, 1989
- Colon ‘cast’ in a patient with ischaemic colitisBritish Journal of Surgery, 1987
- Spontaneous passage of a colon ‘cast’ in a patient with ischaemic colitisBritish Journal of Surgery, 1987
- An experimental study of the pathogenesis of the ischemic colitis.Nihon Daicho Komonbyo Gakkai Zasshi, 1987
- Passage of a colon “cast” following resection of an abdominal aortic aneurysmBritish Journal of Surgery, 1984