Chronic intestinal pseudoobstruction: difficulties in diagnosis and treatment. Case report

Abstract

The article presents a clinical case of a 23-year-old patient with an extremely severe congenital form of chronic intestinal pseudoobstruction coupled with a neuromyopathy,colon malrotation, malabsorption, bacterial overgrowth syndrome, cholelithiasis and gastrostasis, which excluded bowel transplantation. Long-term treatment in the intensive care unit with combined, mainly parenteral nutrition for 6 months, using antibiotics, prokinetics, intestinal decompression allowed to achieve partial stabilization of the patients condition and transfer to home treatment with the continuation of adequate complex therapy.

Keywords

• chronic intestinal pseudoobstruction
• neuromyopathy
• colon malrotation
• malabsorption
• bacterial overgrowth syndrome
• parenteral nutrition
• prokinetics
• intestinal decompression