A Case of Chronic Colonic Pseudo-obstruction with Visceral Myopathy |
Kyoung Sup Hong, Kyu Joo Park, Sung Hye Park, Sang Gyun Kim, Hyun Chae Jung, In Sung Song, Joo Sung Kim |
Departments of Internal Medicine, General Surgery and Pathology†, Seoul National University College of Medicine, Seoul, Korea
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내장 근병증을 동반한 만성 대장 가성 장폐색 1예 |
홍경섭, 박규주, 박성혜, 김상균, 정현채, 송인성, 김주성 |
서울대학교 의과대학 내과학교실, 외과학교실 |
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Abstract |
Chronic colonic pseudo-obstruction is a rare disease that results in colorectal dilatation without any obstructing lesions. Colonic dilatation does not usually cause colonic wall thickening and colonic visceral myopathy with muscular hypertrophy has not been reported in Korea. A 31-year-old female patient was transferred for treatment of refractory constipation accompanied by megacolon. She had suffered from recurrent attacks of severe abdominal pain with the sensation of a mass in the left lower quadrant. An abdominal CT revealed a large luminal dilatation of the sigmoid colon where massive stool was impacted. There was no obstructing lesion or luminal dilatation of the rectum. To relieve her refractory symptoms, a total colectomy with an ileorectal anastomosis was performed. Pathologic examination of the sigmoid colon revealed that the muscle layers were dysplastic and hypertrophied, and the innervations into the muscle fibers were markedly decreased. She was discharged without any intra-abdominal symptoms. (Intest Res 2008;6:145-149) |
Key Words:
Colonic Pseudo-Obstruction, Intestinal Pseudo-Obstruction, Constipation, Megacolon |
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