intestinal pseudo-obstruction
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Etiology
- abnormal gastrointestinal (GI) motility
- smooth muscle diseases
- connective tissue disease
- neurologic disorders
- systemic disorders
- diabetes mellitus (rare)
- hypothyroidism
- familial syndromes
Epidemiology
- increased frequency in developmentally disabled patients
Clinical manifestations
- constipation
- abdominal distension
- abdominal pain
- nausea, sometimes vomiting
Radiology
- dilated small intestine
- colon may or may not be dilated
Complications
- intestinal perforation
- cecal diameter of > 10 cm is high suscepitble to perforation
Differential diagnosis
Management
- correct electrolyte disturbances, especially hypokalemia
- nasogastric suction may help decompress the colon
- turning patient from backside to stomach may passively move air
- colonoscopy may successfully decompress colon
- colectomy
More general terms
More specific terms
Additional terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 338
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 15, 16. American College of Physicians, Philadelphia 1998, 2009, 2012
- ↑ Intestinal Pseudo-Obstruction https://www.niddk.nih.gov/health-information/digestive-diseases/intestinal-pseudo-obstruction