Complete ileus due to montmorillonite powder
10.3760/cma.j.cn114015-20210223-00209
- VernacularTitle:蒙脱石散致完全性肠梗阻
- Author:
Xiao WANG
1
;
Huaxue LIU
Author Information
1. 山东省临沂市精神卫生中心临床药学室,临沂 276005
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Drug-related side effects and adverse reactions;
Montmorillonite powder
- From:
Adverse Drug Reactions Journal
2022;24(1):42-43
- CountryChina
- Language:Chinese
-
Abstract:
A 50-year-old male patient had diarrhea due to unclean diet. According to the doctor′s advice, the patient received the first dose of montmorillonite powder 6 g orally. The next day, he developed abdominal pain, abdominal distention, and no defecation. Enema was ineffective. Physical examination showed abdominal distension, percussion drum sound, obvious abdominal tenderness, and reduced bowel sound. The patient was diagnosed with complete ileus by abdominal CT. After 5 days of symptomatic treatments such as diet prohibition, gastrointestinal decompression, and enema defecation, the patient returned to normal exhaust and defecation. After excluding other intestinal lesions through abdominal X-ray, enhanced CT, and enteroscopy, it is considered that the patient′s complete ileus was related to montmorillonite powder.