Clinical manifestations of gastroparesis, masking low colic obstruction (<i>Diagnostic capabilities options of transabdominal ultrasound investigation</i>)

Abstract

The aim of clinical case presentation. To demonstrate a rare case of the low colic obstruction, masking clinical manifestations of gastroparesis.The main contents. Gastroparesis – is a motor disorder with delayed emptying of the stomach in absence of mechanical obstruction. Causes of gastroparesis include diabetes mellitus and other metabolic disorders (hypothyroidism, hypokalemia, hypercalcemia), effects of drugs (cholinoblockers, opioids, L-dopa, estrogens, progesteron), effect of nicotine, neurologic disorders, intestinal pseudo-obstruction, etc. The example of one of the rare causes of gastroparesis and disorder of evacuation of the stomach is presented: low colic obstruction developed on a background of adenocarcinoma of large intestine that was characterized by untypical clinical pattern with predominance of gastroparesis manifestations.Conclusion. Transabdominal ultrasound investigation of abdominal cavity is an adequate method of diagnostics of both gastroparesis, and its rare cause – low colic obstruction caused by malignant tumor in rectosigmoid region of the large intestine.

Keywords

• transabdominal ultrasound investigation of abdominal cavity
• gastroparesis
• colic obstruction