A Case of Chronic Idiopathic Pseudo-Obstruction Caused by a Degenerative.

, Kim, Jin Ah; , Kim, Je Hyung; , Hwang, Ho Geun; , Ahn, Sun Ho

Case Report

Journal of the Korean Society of Coloproctology 1997;13(4):637-642.

Kim, Jin Ah , Kim, Je Hyung , Hwang, Ho Geun , Ahn, Sun Ho

¹Departments of Surgery, Medicine, School of Medicine, Won Kwang University, Iksan, Korea.
²Department of General Surgery, School of Medicine, Won Kwang University, Iksan, Korea.

Abstract

Intestinal pseudo-obstruction is characterized by symptoms and signs of mechanical bowel obstruction in the abscence of an occluding lesion of the intestinal lumen. The chronic forms of intestinal pseudo-obstruction are separated into primary and secondary in according to the underlying disorders. primary or chronic idiopathic intestinal pseudo-obstruction(CIIP) is not associated with systemic illness and a progressive nature with relapses and remissions. Since Dyer described the rare histologic subtype of idiopathic pseudo-obstruction, the primary abnormality is in the myenteric plexus of the bowel at first in 1969, only few cases are reported. We report a case of CIIP caused by degeneration of myenteric plexus of the colon and he was successfully treated with surgical management.

Key Words: Chronic Idiopathic Pseudo-Obstruction(CIIP)