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[Intestinal pseudo-obstruction]

S Massarrat, J Schneider, W Seidel

    Zeitschrift Fur Gastroenterologie
    |May 1, 1977
    PubMed
    Summary
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    This case report details intestinal pseudoobstruction, a rare motility disorder. Surgical intervention and antibiotics led to significant patient recovery, highlighting treatment options for this condition.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Intestinal pseudoobstruction is a rare gastrointestinal motility disorder.
    • German literature lacks comprehensive reports on this condition.

    Purpose of the Study:

    • To report a unique case of intestinal pseudoobstruction.
    • To discuss the clinical presentation, diagnosis, and management of this rare syndrome.

    Main Methods:

    • Case presentation of a patient with a two-decade history of symptoms.
    • Surgical exploration (laparotomy) revealing localized duodenal and jejunal dilatation with atonia.
    • Histological examination of resected intestinal tissue.
    • Post-operative antibiotic treatment.

    Main Results:

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    • Patient presented with chronic abdominal discomfort, flatulence, diarrhea, inappetence, vomiting, and cachexia.
    • Histology showed decreased muscularis propria thickness with intact neural plexus.
    • Satisfactory patient recovery following surgical resection and antibiotic therapy.

    Conclusions:

    • Localized intestinal dilatation with severe motility disturbance is a rare clinical syndrome.
    • Surgical resection combined with antibiotics can lead to successful patient restitution.
    • Further discussion of global literature cases is warranted.