Occurrence of Intestinal Pseudo-obstruction in a Brainstem Hemorrhage Patient.
Intestinal pseudo-obstruction is a massive colonic dilation with signs and symptoms of colonic obstruction, but without a mechanical cause. A 49-year-old female patient complained of nausea, vomiting, and abdominal distension 1 month after a massive brainstem hemorrhage. No improvement was seen with conservative treatments. An extended-length rectal tube was inserted to perform glycerin enema. In addition, bethanechol (35 mg per day) was administered to stimulate colonic motility. The patient's condition gradually improved over a 2-month period without any surgical intervention. Extended length rectal tube enema and bethanechol can be used to improve intestinal pseudo-obstruction in stroke patients.
Department of Rehabilitation Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon 301-723, Korea.
Sang-Jee
SJ
Lee
In-Hun
IH
Na
Eun-Seok
ES
Choi
Sung-Hee
SH
Jung
Jong-Soo
JS
Yoon