Proximal intestinal obstruction syndrome (PIOS) in a patient with cystic fibrosis: A case report.

Autor:	Morales Morales CA; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico., Gonzalez-Urquijo M; Tecnologico de Monterrey, School of Medicine and Health Sciences, Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico.; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico., Morales Flores LF; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico., Quevedo-Fernandez E; Tecnologico de Monterrey, School of Medicine and Health Sciences, Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico.; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico., Guzmán Huerta EA; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico., Virgilio Hernández-Torre MM; Dr. Ignacio Morones Prieto O 3000, Monterrey, 64710, Mexico.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2020 Dec 03; Vol. 60, pp. 669-672. Date of Electronic Publication: 2020 Dec 03 (Print Publication: 2020).
DOI:	10.1016/j.amsu.2020.11.063
Abstrakt:	Introduction: Distal Intestinal Obstruction Syndrome is a rare complication in patients with cystic fibrosis, which characterized by the accumulation of viscid fecal material, combined with sticky mucous secretions located in the distal ileum adhere to the intestinal wall, causing complete bowel obstruction. Presentation of Case: We report a case of a 45 years old patient with cystic fibrosis, who presented bowel obstruction secondary to accumulation of fecal material, combined with mucous secretions, in the mid-jejunum. A diagnostic laparoscopy was performed where a dilated jejunum was encountered with impaction of fecal content. Surgery was converted to open surgery, where a longitudinal enterotomy of 5 cm after the transition zone was created, evacuating manually the fecal material with mucous secretion. The patient evolved favorably, without complications. Discussion: We present a case of a patient with cystic fibrosis presenting with bowel obstruction due to a proximal intestinal obstruction syndrome, which can be diagnosed with the DIOS definition, with the only distinction of a more proximal location in the gastrointestinal tract, such as the stomach, the duodenum, or the jejunum. Conclusion: It is important for the clinician to know the existence of this syndrome at its different locations in the small bowel to treat accordingly. Competing Interests: The authors declare no conflict of interest. (© 2020 The Author(s).)
Databáze:	MEDLINE
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