Chronic Intestinal Pseudo-obstruction Induced by Acquired Segmental Hypoganglionosis of the Colon, Report of a Case Fumitoshi Kuroki 1 1Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical school Keyword: 慢性偽性腸閉塞症 , hypoganglionosis , 神経Behçet病 pp.215-221
Published Date 2000/2/25
DOI https://doi.org/10.11477/mf.1403104653
  • Abstract
  • Look Inside
  • Cited by

 A 49-year-old male was admitted to our hospital because of abdominal distension and disturbed bowel habit in November 1997. He had been diagnosed as having neuro-Behcet's disease in 1988. The radiographic examination of the colon in 1988 revealed no abnormal finding. Abdominal distension and disturbed bowel habit had begun in September 1996 and these symptoms continued regardless of any medical treatments. Barium enema radiography demonstrated a narrow segment in the sigmoid colon and the descending colon along with a dilated colon above the stricture. Endoscopy revealed a spastic and narrow segment with intact mucosa in the descending colon. Subtotal colectomy was performed and the histologic examination of the resected specimen showed remarkable reduction in the number of ganglion cells of Auerbach's and Meissner's plexuses in the narrow segment. He was diagnosd as having chronic intestinal pseudo-obstruction due to acquired segmental hypoganglionosis of the colon.

Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院