J Neurogastroenterol Motil.
2010 Jan;16(1):83-89.
Two Cases of Chronic Idiopathic Intestinal Pseudo-obstruction with Different Clinical Features
- Affiliations
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- 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Korea. nayoungkim49@empal.com
- 2Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Korea.
- 3Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Korea.
- 4Younsei Plus Clinic, Seongnam, Gyeonggi-do, Korea.
Abstract
- Chronic intestinal pseudo-obstruction (CIPO) is a rare disorder characterized by a severe impairment of gastrointestinal propulsion in the absence of mechanical obstruction. We experienced a case of chronic pseudo-obstruction in the initial phase mimicking acute pseudo-obstruction, which was treated medically. This ongoing case was compared to another recurrent and intractable case successfully treated with surgery and diagnosed as hypoganglionosis. These two cases showed different clinical features and therapeutic approaches for CIPO; one with the first episode of CIPO mimicking Ogilvie's syndrome; the other with recurrent episodes of CIPO with typical features. In conclusion, CIPO is a difficult disorder with various clinical manifestations and different treatment modalities, therefore individualized diagnostic and therapeutic approaches are needed.
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