Intestinal pseudo-obstruction--a rare condition with heterogeneous etiology and unpredictable outcome. A case report.
Intestinal pseudo-obstruction (IPO), either acute or chronic, is a condition including features of intestinal ileus in the absence of mechanical obstruction. We present such a rare case of idiopathic IPO in a 53-year old male patient in whom recurrent episodes of pseudo-obstruction were successfully resolved by anticholinesterase agents, motilin agonists or colonic decompression. However, subsequently total colectomy was required. Huge colonic dilatation was identified intraoperatively, while histology evidenced a neuropathic variant of chronic intestinal pseudoobstruction. IPO is a condition in which conservative treatment usually fails. Total colectomy with ileoanal pouch was the solution in our patient.
Georgescu
Eugen Florin
EF
2nd Department of Internal Medicine, Filantropia Hospital, Str. Constantin Brancusi, nr. 3, 200136 Craiova, Romania. efg@usa.net
Vasile
Ion
I
Georgescu
Ana Claudia
AC
D003082:Colectomy; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008531:Megacolon / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged