Chronic Intestinal Pseudoobstruction Associated with Inflammatory Visceral Neuropathy: A Case Report.
- Author:
Young Kyung BAE
1
;
Joon Hyuk CHOI
;
Mi Jin KIM
;
Dong Sug KIM
;
Won Kyu PARK
;
Jae Hwang KIM
Author Information
1. Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea. ykbae@yumail.ac.kr
- Publication Type:Case Report
- Keywords:
Intestinal Pseudoobstruction;
Neuropathy
- MeSH:
Appendix;
Colon;
Female;
Ganglion Cysts;
Humans;
Ileum;
Intestinal Pseudo-Obstruction*;
Middle Aged;
Muscular Diseases;
Myenteric Plexus;
Nerve Fibers
- From:Korean Journal of Pathology
2004;38(3):191-195
- CountryRepublic of Korea
- Language:English
-
Abstract:
The pathogenesis of chronic intestinal pseudoobstruction (CIP) presents a broad spectrum of etiologies. Among them, visceral neuropathy and myopathy are two major pathologic conditions. We report here on a very rare case of CIP associated with inflammatory visceral neuropathy involving the terminal ileum, appendix and entire colon in a 64-year-old woman who did not have any detectable neoplasm or family history of this disease. Microscopically, the submucosal and myenteric plexuses showed a severe and diffuse lymphoplasmacytic infiltrate with degenerative changes of the ganglion cells and nerve fibers. The pathogenesis of the inflammatory reaction is unclear for our patient, but we think that this would be a rare example of idiopathic and sporadic visceral neuropathy resulting in chronic intestinal pseudoobstruction.
