A Case of Surgically treated Chronic Idiopathic Colonic Pseudoobstruction

Takafumi Ushiyama¹⁾, Shinya Yamamoto¹⁾, Yoshiko Noda²⁾, Reiji Haba³⁾, Hisao Wakabayashi⁴⁾, Takashi Maeba⁴⁾ and Hajime Maeta⁴⁾

¹⁾Department of Surgery, ²⁾Department of Internal Medicine, Kagawa Prefectural Shirotori Hospital, ³⁾Department of Pathology, ⁴⁾First Department of Surgery, Kagawa Medical University.

We discuss a case of surgically treated chronic idiopathic colonic pseudoobstruction (CICP). A 48-year-old man refered to our hospital, reported progressive abdominal fullness for 28 years. Barium enema, colonoscopy, and abdominal radiography findings showed marked dilation of the colon from the splenic flexure to the descending colon without mechanical obstruction or basal diseases. The dilated colon was resected, because conservative therapies, taking drugs and decompression by an anal tube, were not effective. Histopathologically, a thin muscle layer, mild degeneration, and a decrease in ganglion cells of the Auerbach plexus were observed. Postoperatively, he had no problems in flatus and defection and his nutritional status improved. The cause of this disease is not clear. Few reports have benn made in Japan. and we reported this case with some referenceconsideration.

Key words
chronic idiopathic pseudoobstruction, colon, colectomy

Reprint requests
Takafumi Ushiyama Department of Surgery, Takamatsu National Hospital 8 Otsu, Shindencho, Takamatsu City, 761-0193 JAPAN

Accepted
May 29, 2002

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