Occurrence of Intestinal Pseudo-obstruction in a Brainstem Hemorrhage Patient.
10.5535/arm.2012.36.2.278
- Author:
Sang jee LEE
1
;
In hun NA
;
Eun seok CHOI
;
Sung hee JUNG
;
Jong soo YOON
Author Information
1. Department of Rehabilitation Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon 301-723, Korea. nih81@naver.com
- Publication Type:Case Report
- Keywords:
Intestinal pseudo-obstruction;
Rectal tube;
Bethanechol
- MeSH:
Bethanechol;
Brain Stem;
Colon;
Enema;
Female;
Glycerol;
Hemorrhage;
Humans;
Intestinal Pseudo-Obstruction;
Middle Aged;
Nausea;
Stroke;
Vomiting
- From:Annals of Rehabilitation Medicine
2012;36(2):278-281
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intestinal pseudo-obstruction is a massive colonic dilation with signs and symptoms of colonic obstruction, but without a mechanical cause. A 49-year-old female patient complained of nausea, vomiting, and abdominal distension 1 month after a massive brainstem hemorrhage. No improvement was seen with conservative treatments. An extended-length rectal tube was inserted to perform glycerin enema. In addition, bethanechol (35 mg per day) was administered to stimulate colonic motility. The patient's condition gradually improved over a 2-month period without any surgical intervention. Extended length rectal tube enema and bethanechol can be used to improve intestinal pseudo-obstruction in stroke patients.
