Intestinal pseudoobstruction caused by a new form of visceral neuropathy: palliation by radical small bowel resection.
We report a case of chronic intestinal pseudoobstruction caused by a newly recognized type of degenerative neuropathy of the myenteric plexus. Failure to improve despite aggressive medical management led to radical resection of the clinically involved small intestine. At follow-up 10 mo later, the patient is doing well without the need for parenteral nutrition. Radical resection of the small intestine may be necessary for palliation in rare patients with intractable pseudoobstruction.
Schuffler
M D
MD
Leon
S H
SH
Krishnamurthy
S
S
D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000150:complications* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000294:innervation; D007415:Intestinal Obstruction / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000294:innervation* / Q000601:surgery; D007583:Jejunum / Q000294:innervation; D008297:Male; D009197:Myenteric Plexus / Q000473:pathology; D009325:Nausea / Q000209:etiology; D009474:Neurons / Q000473:pathology; D010166:Palliative Care; D010528:Peristalsis; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D013194:Staining and Labeling