식도와 위기능 장애가 동반된 만성 가성 장폐쇄증 1예
A Case of Chronic Intestinal Pseudo-Obstruction with Esophageal and Gastric Dysfunction
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초록
반복적인 복통과 구토를 주소로 내원하여 임상증상과 병력, 고해상도 식도내압검사와 위배출 시간 검사를 통하여 식도와 위기능 장애가 동반된 소장의 만성 특발성 가성 장폐쇄증으로 진단되었고, 보존적 치료로 호전된 비교적 경한 증상의 증례이다.
Abstract
Chronic intestinal pseudo-obstruction (CIPO) is a rare digestive syndrome characterized by symptoms and signs of intestinal obstruction in the absence of mechanical obstruction. A 48-year-old female presented at our facility with severe abdominal pain and vomiting. Simple abdominal radiography revealed small bowel gas and ileus. Computed tomography also revealed a dilated small bowel, but there was no evidence of mechanical obstruction. Esophageal function was decreased based on high-resolution manometry and the gastric emptying time was prolonged on a gastric emptying scan. The patient recovered with conservative treatment. We report a case of chronic intestinal pseudo-obstruction with esophageal and gastric dysfunction. (Korean J Med 2011;81:223-228)
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