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(Chest. 1975;68:661-664.)
© 1975 American College of Chest Physicians

Colonic Ileus and Cecal Perforation in Patients Requiring Mechanical Ventilatory Support

Gerald T. Golden M.D.1 and James G. Chandler M.D.1

1 From the Department of Surgery, University of Virginia Medical Center, Charlottesville

Massive colonic distention associated with neither small intestinal dilatation nor distal obstruction of the colon occurred in seven patients who were requiring mechanical ventilatory support. In three of these patients, perforation of the cecum was the first sign of their having colonic ileus. The high incidence of perforation in this series and the common factor of mechanical ventilation suggests a causal relationship which has not been noted previously.

Submitted on January 3, 2008
Accepted on April 17, 2008






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Copyright © 1975 by the American College of Chest Physicians.