Intestinal atony in progressive systemic sclerosis (Scleroderma).
A 27-year-old woman with a long history of scleroderma developed megacolon and severe fecal vomiting as a result of intestinal atony. Evacuation of fecal impaction with water-soluble contrast enema resulted in prompt relief of fecal vomiting and gradual return of bowel function.
D000328:Adult; D004733:Enema; D005244:Fecal Impaction / Q000628:therapy; D005243:Feces; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007421:Intestine, Small; D008286:Malabsorption Syndromes / Q000209:etiology*; D008531:Megacolon / Q000209:etiology; D012595:Scleroderma, Systemic / Q000150:complications*; D014839:Vomiting / Q000209:etiology