Year 2023 / Volume 115 / Number 12
Letter
When intestinal obstruction is not a surgical condition

739-740

DOI: 10.17235/reed.2023.9630/2023

Sandra Borrego Rivas, Ana Belén Domínguez Carbajo, Alia Martín Izquierdo, Sandra Díez Ruiz, Irene Latras Cortés, Francisco Jorquera Plaza,

Abstract
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at the emergency department with cramping pain, abdominal distention and vomiting, with radiological images simulating a small bowel obstruction. After multiple hospitalisations and an extensive set of tests, including a genetic study, he was diagnosed with chronic pseudo-obstruction, an uncommon, unrecognides syndrome with high morbidity. Being aware of this pathology can make it easier to diagnose, and thereby, we can avoid unnecessary surgical interventions, because its management and treatment are mainly based on pharmacological therapy. After a proper diagnosis our patient's progression was satisfactory due to the treatment introduced, with no further hospitalisations.
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References
1. James, K.N. et al. (2021) “Expanding the genotypic spectrum of actg2-related visceral myopathy,” Molecular Case Studies, 7(3)
2. Hahn JW, Moon SY, Kim MS, et. al. ACTG2 variants in pediatric chronic intestinal pseudo-obstruction with megacystis. Journal of Neurogastroenterology and Motility. 2022;28(1):104–10.
3. Collins RR, Barth B, Megison S, et. al. actg2-associated visceral myopathy with chronic intestinal pseudoobstruction, intestinal malrotation, hypertrophic pyloric stenosis, choledochal cyst, and a novel missense mutation. International Journal of Surgical Pathology. 2018;27(1):77–83.
Gutierrez-Perez C, Lastra Aras E, Gomez Bravo R, Chivato Martin-Falquina I, Cuenca Zarzuela A, Rodriguez Ledesma I et al Chronic intestinal pseudo-obstruction: diagnostic and prognostic utility of ANNA-1/Anti-Hu onconeural antibodies Rev Esp Enferm Dig. 2022 Mar;114(3):175-176. doi: 10.17235/reed.2021.8521/2021.
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Citation tools
Borrego Rivas S, Domínguez Carbajo A, Martín Izquierdo A, Díez Ruiz S, Latras Cortés I, Jorquera Plaza F, et all. When intestinal obstruction is not a surgical condition. 9630/2023


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Publication history

Received: 29/03/2023

Accepted: 14/04/2023

Online First: 28/04/2023

Published: 12/12/2023

Article Online First time: 30 days

Article editing time: 258 days


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