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CHRONIC PSEUDO-OBSTRUCTION OF THE SIGMOID COLON: A CASE REPORT
Ivan Vulić1, Matija Šestan-Peša2, Dubravka Mužina Mišić3
1Division of Gastroenterology, Department of Internal Medicine, Pula General Hospital, Pula, Croatia.
Acta Clinica Croatica
|October 23, 2023
Summary
This case study highlights a successful surgical intervention for chronic intestinal pseudo-obstruction (CIPO). Resection of the sigmoid colon resolved debilitating symptoms, significantly improving the patient's quality of life.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Chronic intestinal pseudo-obstruction (CIPO) presents as intestinal obstruction symptoms without a clear cause.
- It is a rare condition significantly impacting patient quality of life.
Observation:
- A 49-year-old female presented with a 6-month history of abdominal pain, bloating, and irregular bowel movements.
- Imaging revealed focal sigmoid colon thickening and caliber changes, suggestive of dolichosigma.
Findings:
- Surgical resection of the sigmoid colon led to complete symptom resolution and improved quality of life.
- Histopathology of the resected segment showed increased lymphatic tissue and altered germinal centers, potentially indicating CIPO.
Implications:
- Surgical intervention can be an effective treatment for CIPO when conservative measures fail.
- Understanding the histopathological findings may offer insights into CIPO pathogenesis.
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