[Chronic intestinal pseudoobstruction due to visceral myopathy].
A case is reported of a chronic intestinal pseudoobstruction with lethal outcome in a 6-year-old boy. The clinical symptoms and radiology examination showed ileus without mechanical obstruction. During the observation the patient developed left sided mydriasis and grand mal seizures with lactacidosis. He was treated conservatively which included total parenteral nutrition, fluid-sodium supplements, intravenous erythromycin and somatostatin, correction of acidosis. On the 48th day he died suddenly of cardiac failure at the intensive care unit. The gastrointestinal and neurologic symptoms with lactacidosis suggested the possibility of mitochondrial myopathy. Postmortem histopathology showed visceral myopathy. Molecular genetic analysis could not confirm the presence of the mDNA mutation.
Kovács
Márta
M
Petz Aladár Megyei Oktató Kórház, Csecsemo- és Gyermekgyógyászati Osztály, Gyor, Hungary. kovacmarti@freemail.hu
Veres
Gábor
G
Szônyi
László
L
Dezsôfi
Antal
A
Bodánszky
Hedvig
H
Illyés
György
G
Schaff
Zsuzsa
Z
Arató
András
A
D000140:Acidosis, Lactic / Q000209:etiology; D002648:Child; D002908:Chronic Disease; D016757:Death, Sudden, Cardiac / Q000209:etiology; D003937:Diagnosis, Differential; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D017809:Fatal Outcome; D005769:Gastrointestinal Motility; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D007418:Intestinal Pseudo-Obstruction / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D008297:Male; D015878:Mydriasis / Q000209:etiology; D011859:Radiography