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Tumor intestinal obstruction as a cause of ischemic enterocolitis (review and case report)

https://doi.org/10.33878/2073-7556-2025-24-2-142-152

Abstract

AIM: to analyze, based on literature data, a clinical case of total necrotizing obstructive enterocolitis in a patient with CO.

CLINICAL CASE: a stable patient with no comorbidities developed septic shock within hours following tumor stenting for CO. The underlying cause was ischemia of both the small and large intestines. The patient required subtotal colectomy and prolonged treatment in the intensive care unit to achieve recovery.

CONCLUSION: colon ischemia in the context of CO remains an under-researched condition, with undefined diagnostic criteria and a high postoperative mortality rate. This issue warrants close attention and broader discussion within the medical community.

About the Authors

A. E. Tyagunov
Pirogov Russian National Research Medical University; Moscow Multidisciplinary Clinical Center “Kommunarka”
Russian Federation

Aleksandr E. Tyagunov

Ostrovityanova st., 1, Moscow, 117997; Sosenskiy Stan st., 8, Moscow, 142770



B. M. Abdulkarim
Pirogov Russian National Research Medical University; Moscow Multidisciplinary Clinical Center “Kommunarka”
Russian Federation

Botan M. Abdulkarim

Ostrovityanova st., 1, Moscow, 117997; Sosenskiy Stan st., 8, Moscow, 142770



Z. M. Alieva
Pirogov Russian National Research Medical University; Moscow Multidisciplinary Clinical Center “Kommunarka”
Russian Federation

Zaripat M. Alieva

Ostrovityanova st., 1, Moscow, 117997; Sosenskiy Stan st., 8, Moscow, 142770



E. A. Slepchenko
Moscow Multidisciplinary Clinical Center “Kommunarka”
Russian Federation

Elena A. Slepchenko

Sosenskiy Stan st., 8, Moscow, 142770



V. A. Kozhushkov
Pirogov Russian National Research Medical University
Russian Federation

Vasiliy A. Kozhushkov

Ostrovityanova st., 1, Moscow, 117997



A. V. Sazhin
Pirogov Russian National Research Medical University
Russian Federation

Aleksandr V. Sazhin

Ostrovityanova st., 1, Moscow, 117997



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For citations:


Tyagunov A.E., Abdulkarim B.M., Alieva Z.M., Slepchenko E.A., Kozhushkov V.A., Sazhin A.V. Tumor intestinal obstruction as a cause of ischemic enterocolitis (review and case report). Koloproktologia. 2025;24(2):142-152. https://doi.org/10.33878/2073-7556-2025-24-2-142-152

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