A Form of Acute Hemorrhagic Enterocolitis Afflicting Chronically Ill Individuals

Wilson, Rodman; Qualheim, Robert E.

doi:10.1016/s0016-5085(19)36126-8

Cited by 71 publications

(4 citation statements)

References 20 publications

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“…B. Price and D. R. Davies and intense congestion are a prominent feature of the acute varieties of ischaemic colitis (Wilson and Qualheim, 1954;Ming, 1965) (Fig. 10), and we have found this feature only rarely in pseudomembranous colitis, and even then the ghost outlines of the distended glands remain.…”

Section: Histopathologysupporting

confidence: 55%

Pseudomembranous colitis.

Ab¹,

Davies²

1977

J Clin Pathol

229

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Three basic histopathological patterns which may be seen in rectal biopsies from patients with pseudomembranous colitis are described, based on a study of 29 cases. The spectrum of change is illustrated and the problems of differential diagnosis are discussed--from a non-diagnostic proctitis at one extreme to acute ischaemia at the other. In the differential diagnosis of the acute colitic, the importance of urgent rectal biopsy and a carefully taken drug history is stressed. The association of pseudomembranous colitis with pre-existing disease and antibiotic therapy is confirmed. It is suggested that these cause local mucosal damage and may trigger the first part of a local Shwartzman reaction. Capillary microthrombosis may then paly a part in producing the mucosal necrosis seen later in the disease.

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Section: Histopathologysupporting

confidence: 55%

Pseudomembranous colitis.

Ab¹,

Davies²

1977

J Clin Pathol

229

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“…4), with the exception of case 9, which showed severe PC with hemorrhage and apparent secondary mucosal erosion. Though fresh fibrin thrombi due to disseminated intravascular coagulation was seen in the capillaries in the mucosa in one case (case 13), ischemic colitis [28] was not noted. When the relation between submucosal bacterial infection and submucosal edema or submucosal neutrophilic infiltration was examined, no association was found (P<0.59 and P<0.14, respectively).…”

Section: Discussionmentioning

confidence: 94%

Phlegmonous colitis: a specific and severe complication of chronic hepatic disease

Satoh

Sasatomi

et al. 2000

Virchows Archiv

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Phlegmonous colitis (PC) is an acute infectious entity caused by bacteria. In this study, we reviewed 8,822 autopsy cases and found 13 cases of PC (0.15%). PC affected 2.43% of patients with hepatic cirrhosis or subacute liver atrophy, both of which were considered to be due to hepatitis viral infection. Before autopsy, none of the cases studied was suspected to involve PC, irrespective of the immediate cause of patient death. Thirteen autopsy cases showed some or all of the following pathohistologic characteristics: (1) involvement of the cecum (9 cases, 76.9%), (2) phlegmonous inflammatory changes and edema in the submucosa (100%), (3) bacterial infection (100%), (4) no microscopically detectable mucosal injuries (12 cases, 92.3%), and (5) acute serositis (peritonitis) (2 cases, 15.4%). These results suggest that PC is an unrecognized, but fatal complication of patients with some hepatic diseases and that PC has pathohistologic characteristics in common with previously reported spontaneous bacterial peritonitis in animal models. PC probably arises due to spontaneous infection in patients with hepatic cirrhosis.

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“…Verschlfisse kleiner peripherer Mesenterialarterien, aber anch eine Durchblutnngsminderung des Darmes in] Schock oder Kollaps vorwiegend bei herzkranken Patienten mit arteriosklerotisch ver/inderten Gef/~Ben, kSnnen in einem umschriebenen Darmabschnitt zu einem WandSdem und einer Schleimhautnekrose fiihren (Freiman, 1965 ;Ingelfinger, 1963;Marston, 1967;Wilson et al, 1954). Die Ver/inderungen heilen entweder ohne Fo]gen aus oder sehrnmpfen zu narbigen Strikturen, die die Passage behindern und dann reseziert werden mfissen (Kittredge, 1968;Marshak et al, 1965;Schwartz et al, 1963;Wolf et al, 1956).…”

Section: Ih Differentialdiagnose Gegentiber Segmentalen Darminfarktenunclassified

5. Zur differentialdiagnostischen Bedeutung angiographischer Untersuchungen bei entz�ndlichen D�nn- und Dickdarmerkrankungen

Dombrowski

Hupe

Korb

1970

Langenbecks Arch Chiv

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A Form of Acute Hemorrhagic Enterocolitis Afflicting Chronically Ill Individuals

Cited by 71 publications

References 20 publications

Pseudomembranous colitis.

Pseudomembranous colitis.

Phlegmonous colitis: a specific and severe complication of chronic hepatic disease

5. Zur differentialdiagnostischen Bedeutung angiographischer Untersuchungen bei entz�ndlichen D�nn- und Dickdarmerkrankungen

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