title: Intestinal obstruction and pseudo-obstruction in patients with systemic sclerosis.
abstract: Chronic intestinal pseudo-obstruction is a known complication of patients with systemic sclerosis, manifested as nausea, vomiting, constipation, abdominal distension and pain. We report a series of cases with systemic sclerosis that presented with signs of intestinal obstruction. In all cases, the differentiation between a pseudo-obstruction and true mechanical obstruction remained a formidable challenge. Our goal was to present different scenarios of patients with systemic sclerosis and features of intestinal obstruction, with a review on its clinical approach.
authors.affiliation: Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida 33331, USA. jzapatier@hotmail.com
authors.forename: Jorge A
authors.initials: JA
authors.lastname: Zapatier
authors.forename: Andrew
authors.initials: A
authors.lastname: Ukleja
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D012595:Scleroderma, Systemic / Q000150:complications*; D014057:Tomography, X-Ray Computed