Ontology highlight
ABSTRACT: 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.
SUBMITTER: Morales Morales CA
PROVIDER: S-EPMC7721660 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Morales Morales Carlos Antonio CA Gonzalez-Urquijo Mauricio M Morales Flores Luis Fernando LF Quevedo-Fernandez Enrique E Guzmán Huerta Eduardo Alberto EA Virgilio Hernández-Torre Martín Mauricio MM
Annals of medicine and surgery (2012) 20201203
<h4>Introduction</h4>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.<h4>Presentation of case</h4>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 ...[more]