Repetitive Colonoscopic Decompression as a Bridge Therapy before Surgery in a Pregnant Patient with Chronic Intestinal Pseudo-Obstruction.
- Author:
Joon Sung KIM
1
;
Bo In LEE
;
Byung Wook KIM
;
Hwang CHOI
;
Yun Seok LEE
;
Leeso MAENG
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. gidoc4u@gmail.com
- Publication Type:Case Report
- Keywords:
Chronic intestinal pseudo-obstruction;
Pregnancy;
Colonoscopic decompression;
Interstitial cells of Cajal
- MeSH:
Colectomy;
Decompression;
Female;
Gestational Age;
Humans;
Interstitial Cells of Cajal;
Intestinal Obstruction;
Intestinal Pseudo-Obstruction;
Pregnancy
- From:Clinical Endoscopy
2013;46(5):591-594
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic intestinal pseudo-obstruction is a rare clinical syndrome which is characterized by intestinal obstruction without occluding lesions in the intestinal lumen and pregnancy is one of the important aggravating factors. Here, we report a case of a woman with intractable intestinal pseudo-obstruction that was precipitated by pregnancy. She could not make any stool passage for more than 4 weeks until a fetal gestational age of 17 weeks was reached. However, the patient could be maintained by repetitive colonoscopic decompressions and finally total colectomy could be performed successfully at a fetal gestational age of 21 weeks.
