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KMID : 0988920120100020210
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Intestinal Research
2012 Volume.10 No. 2 p.210 ~ p.214
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A Case of Acquired Zonal Aganglionosis in Adult
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Kim Woong-Jun
Eun Chang-Soo
Lee Min-Kyu
Min Seung-Yeon
Yoo Yeon-Hwa
Han Dong-Soo
Jeon Yong-Chul
Sohn Joo-Hyun
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Abstract
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A chronic intestinal pseudo-obstruction is a rare disorder and a severe digestive syndrome. It is characterized by deranged gut propulsive motility that resembles a mechanical obstruction, but no obstructive process is present. An intestinal pseudo-obstruction may be classified as acute or chronic; the chronic form may also be classified as idiopathic or secondary to a variety of diseases. Treatment of intestinal pseudo-obstruction involves nutritional, pharmacological, and surgical therapies. Surgery should be limited to patients who are refractory to medical therapy and show a deteriorating course. Despite available medical and surgical interventions, the outcome remains poor. Here, we describe a case of a 54-year-old female with chronic constipation and abdominal distension, who was subsequently found to have segmental aganglionosis. The patient was treated with a subtotal colectomy and ileosigmoidostomy without sequelae.
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KEYWORD
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Colonic Pseudo-obstruction, Aganglionosis, Colonic
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