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Eur J Case Rep Intern Med. 2021 Mar 26;8(3):002421. doi: 10.12890/2021_002421. eCollection 2021.

Colonic Pseudo-obstruction as a Rare Complication of Pheochromocytoma.

European journal of case reports in internal medicine

Kin Wai So, Hoi Ling Tsui, Kim Hung Tsang

Affiliations

  1. Department of Radiology and Organ Imaging, United Christian Hospital, Hong Kong.

PMID: 33869102 PMCID: PMC8046273 DOI: 10.12890/2021_002421

Abstract

Colonic pseudo-obstruction is characterized by dilatation of the colon without a structural lesion causing the obstruction. It usually involves the caecum and right side of the colon and is commonly observed in patients with severe illness or after surgery; it is rarely caused by pheochromocytoma. The diagnosis of colonic pseudo-obstruction can be established by abdominal imaging including computed tomography (CT) of the abdomen or use of a water-soluble contrast enema. In additional to conservative or surgical treatment, alpha-blockers can be used in this setting to relieve the pseudo-obstruction.

LEARNING POINTS: Colonic pseudo-obstruction is a rare manifestation of pheochromocytoma.A typical radiological feature of colonic pseudo-obstruction is the presence of a gradual transition at the splenic flexure of the colon.Alpha-blockers can be used in this setting to relieve pseudo-obstruction.

© EFIM 2021.

Keywords: Pseudo-obstruction; phenoxybenzamine; pheochromocytoma

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

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