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Intestinal atony in progressive systemic sclerosis (Scleroderma).

S Y Han, R M Nowell

    Southern Medical Journal
    |June 1, 1979
    PubMed
    Summary
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    Scleroderma can cause intestinal atony, leading to megacolon and fecal vomiting. Prompt relief was achieved through fecal impaction evacuation using a water-soluble contrast enema, restoring bowel function.

    Area of Science:

    • Gastroenterology
    • Rheumatology
    • Internal Medicine

    Background:

    • Scleroderma, an autoimmune connective tissue disease, can affect gastrointestinal motility.
    • Intestinal atony is a known complication, potentially leading to severe symptoms like megacolon.

    Observation:

    • A 27-year-old female patient with a history of scleroderma presented with megacolon and severe fecal vomiting.
    • These symptoms were attributed to intestinal atony secondary to scleroderma.

    Findings:

    • Fecal impaction was diagnosed and subsequently evacuated using a water-soluble contrast enema.
    • The procedure resulted in immediate cessation of fecal vomiting.

    Implications:

    • This case highlights the efficacy of contrast enema for managing fecal impaction in scleroderma patients with intestinal atony.

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  • Early intervention can prevent complications and improve patient outcomes in gastrointestinal manifestations of scleroderma.