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Chronic constipation--a lethal danger in patients with systemic scleroderma.

A Exadaktylos1, S Papagrigoriadis

  • 1The Colorectal Unit, South Cleveland Hospital, Middlesbrough, UK.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|January 12, 2002
PubMed
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Systemic scleroderma commonly affects the gastrointestinal tract. A severe case involving constipation, stercoral obstruction, and perforation highlights the critical need for managing these gastrointestinal manifestations.

Area of Science:

  • Gastroenterology
  • Rheumatology
  • Internal Medicine

Background:

  • Systemic scleroderma is a multisystem autoimmune disease.
  • Gastrointestinal (GI) manifestations are common in systemic scleroderma, impacting motility and structure.
  • Severe GI complications can significantly affect patient morbidity and mortality.

Observation:

  • A 62-year-old patient with known systemic scleroderma presented with progressive, severe constipation.
  • The constipation advanced to stercoral obstruction, a fecal impaction causing bowel distension.
  • This obstruction ultimately resulted in a gastrointestinal perforation, a life-threatening complication.

Findings:

  • The case underscores the potential severity of GI involvement in systemic scleroderma.

Related Experiment Videos

  • Prompt recognition and management of GI symptoms like constipation are crucial.
  • Gastrointestinal perforation is a rare but devastating complication of severe constipation in scleroderma.

    • Implications:

    • Highlights the importance of vigilant monitoring for GI issues in systemic scleroderma patients.
    • Emphasizes the need for effective management strategies for constipation to prevent severe complications.
    • Informs clinical practice regarding the potential for life-threatening GI events in this patient population.