|
KMID : 0614620140630020125
|
|
Korean Journal of Gastroenterology
2014 Volume.63 No. 2 p.125 ~ p.128
|
|
|
A Case of Colonic Pseudoobstruction Related to Bacterial Overgrowth Due to a Sigmoidocecal Fistula
|
|
Chung Kyoung-Myeun
Lim Seong-Uk
Hong Hyoung-Ju
Park Sun-Young
Park Chang-Hwan
Kim Hyun-Soo
Choi Sung-Kyu
Rew Jong-Sun
|
|
|
Abstract
|
|
|
|
Colocolic fistulas are usually a complication of an inflammatory or neoplastic process. Development of these abnormal bowel communications may lead to bacterial overgrowth. We report on a 71-year-old man with a one-year history of recurrent abdominal distension and irregular bowel habits. Abdominal X-rays and computed tomography showed multiple air-fluid levels and loops of distended bowel without evidence of mechanical obstruction or diverticulitis. Colonoscopy showed a fistulous tract between the sigmoid colon and cecum. Results of a lactulose breath test showed high fasting breath CH4 levels, which were thought to be the result of intestinal bacterial overgrowth. The patient was diagnosed with a colonic pseudo-obstruction associated with bacterial overgrowth due to a sigmoidocecal fistula. We recommended surgical correction of the sigmoidocecal fistula; however, the patient requested medical treatment. After antibiotic therapy, the patient still had mild symptoms but no acute exacerbations.
|
|
|
KEYWORD
|
|
|
Colonic pseudo-obstruction, Intestinal fistula, Diverticulum, Colon
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|