J Korean Radiol Soc.  1992 Apr;28(2):287-292.

Chronic intestinal pseudoobstruction syndrome

• Yeon KM
• Seo JK
• Lee YS

Abstract

Chronic intestional pseudoobstruction syndrome is a rare clinical condition in which impaired intestinal peristalsis. Causes recurrent symptoms of bowel obstruction in the absence of a mechanical occlusion. This syndrome may involve variable segments of small or large bowel. And may be associated with urinary bladder retention. This study included 6 children(3 boys and 3 girls) of chronic intestinal obstruction. Four were symptomatic at birth and two were of the ages of one month and one year. All had abdominal distention and defication difficulty. Five had urinary bladder distention. Despite parenteral nutrition and surgical intervention(ileostomy or colostomy), bowel obstruction persisted and four patients expired from sepsis within one year. All had gaseous distention of small and large bowel on abdominal films. In small bowel series. Consistent findings were variable degree of dilatation. Decreased peristalsis(prolonged transit time) and microcolon or microrectum. This disease entity must be differentiated from congenital megacolon, ileal atresia and megacystis syndrome.

MeSH Terms

Dilatation
Hirschsprung Disease
Humans
Intestinal Obstruction
Intestinal Pseudo-Obstruction*
Parenteral Nutrition
Parturition
Peristalsis
Sepsis
Urinary Bladder