Severe colonic complications of XXXX .

@entity1 @entity32 @entity788 @entity3123 @entity548 @entity39 @entity5 @entity3124 @entity660 @entity29 @entity733 @entity490 @entity9007 @entity694 @entity1744 @entity1049
INTRODUCTION: @entity1049 in @entity660 is rare but potentially fatal. Extension of contiguous @entity32 or @entity5 , autodigestive effects of enzymes, or dissection of a @entity9007 or @entity733 may involve the colon producing obstruction, perforation, @entity548 , or @entity490 . RESULTS: Nine @entity1 with @entity660 requiring colonic resection were identified. Cases included @entity788 producing @entity694 invading the colon (3). extension of @entity788 producing a @entity694 (3). and @entity9007 eroding into the splenic flexure (1). Presentation was varied, including @entity548 (2). clinical deterioration during severe @entity788 (4). and @entity1744 (3). The 3 cases due to malignancy, 1 of which was recurrent, presented with primary @entity29 suggesting @entity660 . Typically, @entity1 with severe acute @entity788 had @entity694 obscured and unrecognized initially because of the ongoing, fulminant inflammatory process. CONCLUSIONS: Recognition of large bowel involvement may be difficult because of nonspecific symptoms or be masked by the systemic features of a @entity3124 . Colonoscopy, contrast x-rays, or CT scan may be vital in selected cases to detect underlying pathology. Clinicians should be aware that acute or chronic @entity788 or @entity3123 may compress, erode, or inflame the large bowel, resulting in life-threatening @entity39 , @entity548 , obstruction, or perforation.
