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Intest Res > Volume 10(2); 2012 > Article
Intestinal Research 2012;10(2):210-214.
DOI: https://doi.org/10.5217/ir.2012.10.2.210    Published online April 30, 2012.
A Case of Acquired Zonal Aganglionosis in Adult
Woong Jun Kim, Chang Soo Eun, Min Kyu Lee, Seung Yeon Min, Yeon Hwa Yoo, Dong Soo Han, Yong Cheol Jeon, Joo Hyun Sohn
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
성인에서 발생한 후천적 국소 무신경절증 1예
김웅준, 은창수, 이민규, 민승연, 유연화, 한동수, 전용철, 손주현
한양대학교 의과대학 내과학교실
Abstract
A chronic intestinal pseudo-obstruction is a rare disorder and a severe digestive syndrome. It is characterized by deranged gut propulsive motility that resembles a mechanical obstruction, but no obstructive process is present. An intestinal pseudo-obstruction may be classified as acute or chronic; the chronic form may also be classified as idiopathic or secondary to a variety of diseases. Treatment of intestinal pseudo-obstruction involves nutritional, pharmacological, and surgical therapies. Surgery should be limited to patients who are refractory to medical therapy and show a deteriorating course. Despite available medical and surgical interventions, the outcome remains poor. Here, we describe a case of a 54-year-old female with chronic constipation and abdominal distension, who was subsequently found to have segmental aganglionosis. The patient was treated with a subtotal colectomy and ileosigmoidostomy without sequelae. (Intest Res 2012;10: 0-214)
Key Words: Colonic Pseudo-obstruction, Aganglionosis, Colonic
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