A Case of Colonic Pseudoobstruction Related to Bacterial Overgrowth Due to a Sigmoidocecal Fistula
| Autor: | Sung Kyu Choi, Seong Uk Lim, Hyoung Ju Hong, Seon-Young Park, Kyoung Myeun Chung, Chang-Hwan Park, Hyun Soo Kim, Jong Sun Rew |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Fistula Colonic Pseudo-Obstruction Colonoscopy Gastroenterology Lactulose Internal medicine Intestinal Fistula medicine Humans Aged Breath test medicine.diagnostic_test business.industry Sigmoid colon General Medicine Abdominal distension Diverticulitis medicine.disease Anti-Bacterial Agents Surgery medicine.anatomical_structure Breath Tests medicine.symptom Tomography X-Ray Computed business Methane medicine.drug |
| Zdroj: | The Korean Journal of Gastroenterology. 63:125 |
| ISSN: | 2233-6869 1598-9992 |
| Popis: | 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. (Korean J Gastroenterol 2014;63:125-128) |
| Databáze: | OpenAIRE |
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