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  • Res)   idiopathic constipation top severe and persistent constipation without a known cause cathartic colon is historic term for anatomic changes due to chronic laxative use usually women affects 5-30% in uk ( nurs times 2005;101:59 ) treatment: may require colectomy gross: loss of haustral folds ( j clin gastroenterol 1998;26:283 ) micro: melanosis coli due to laxative use; may have loss of neurons in myenteric plexus with silver stains; may have reduced cd117+ interstitial cells of cajal cathartic colon: mucosa resembles snake skin, atrophic muscularis propria with decreased neurons in auerbach plexus references: national institutes of health   infarct of colon top case reports: due to giant cell arteritis ( medicina (b aires) 1999;59:86 ), abdominal aortic aneurysm ( minerva chir 1996;51:597 ) gross images: hemorrhagic infarct micro images: infarct #1;  #2;  #3   infarcted epiploic appendages top due to twisting of normally think pedicles of fat on lateral colon may be associated with obstruction and abscess ( j am assoc gynecol laparosc 1996;3:325 ) gross: firm, gray-white nodules resembling metastatic tumor micro: central infarcted adipose tissue with peripheral fat necrosis and calcification, outer fibrotic and inflamed tissue   melanosis coli top common endoscopic finding grossly visible brown-black areas of colon after ingestion of anthracene-type laxatives typically involves all parts of colon and rectum, but spares mucosal regions with lymphoid nodules, polyps or carcinomas; thus, should biopsy nonpigmented regions in these patients no associated with adenomas, although small polyps are more easily identified ( z gastroenterol 1997;35:313 ) case reports: patient with rett syndrome (autonomic neuropathy, constipation, severe cns disease, archives 2001;125:1110 ), in pericolonic nodes of patient taking laxative ( archives 2004;128:565 ) gross images: darkly pigmented colonic mucosa #1;  #2 (terminal ileum is normal color) micro: macrophages containing lipofuscin (melanin-like pigment) in lamina propria; silver stains may show abnormalities of myenteric plexus micro image: macropha. generic prescription viagra daily viagra blood pressure Viagra side effects with alcohol viagra cost south africa buy viagra online where is the cheapest place to buy viagra difference between viagra viagra cheapest place to buy viagra online What ingredients in viagra buy viagra generic soft viagra does generic viagra work good is there an over the counter medicine like viagra viagra pills for sale uk buy viagra online is there an over the counter medicine like viagra ordering generic viagra in canada Gestion diaria
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