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Publication
Pseudo-obstrução Intestinal – Caso Clínico
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Advisor(s)
Abstract(s)
A Pseudo-obstrução intestinal é
uma doença rara, causadora de grande
morbilidade, defi nida pela presença de
sinais e sintomas de oclusão intestinal,
na ausência de obstrução mecânica. O
prognóstico é muito variável, estando em
parte relacionado com a doença subjacente.
Os autores apresentam um caso de
um lactente com pseudo-obstrução intestinal
crónica de etiologia não esclarecida,
com melhoria lenta mas progressiva da
sintomatologia após realização de ileostomia
e instituição de medicação procinética
intestinal, tendo necessitado de
nutrição parentérica total.
Salienta-se deste caso a raridade da
patologia, a difi culdade do seu diagnóstico,
e a não existência de terapêuticas defi
nidas como curativas, usando-se muitas
vezes apenas tratamento conservador,
com o intuito de diminuir a sintomatologia
e promover o trânsito intestinal.
ABSTRACT Chronic Intestinal Pseudo-Obstruction is a rare, disabling disorder characterized by signs and symptoms resembling a physical obstruction to luminal flow, without a true mechanical obstruction. Prognosis is variable, in part related to the underlying disease, if identified. The authors present a case of an infant with chronic intestinal pseudoobstruction of unknown aetiology, who needed total parenteral nutrition, and showed slow but consistent improvement of symptoms after enterostomy and prokinetic medical treatment. We emphasize the rarity of the disease, the difficulty of the diagnosis, and the absence of well defined and effective therapies. It is often used conservative treatment, to improve symptoms and promote intestinal motility.
ABSTRACT Chronic Intestinal Pseudo-Obstruction is a rare, disabling disorder characterized by signs and symptoms resembling a physical obstruction to luminal flow, without a true mechanical obstruction. Prognosis is variable, in part related to the underlying disease, if identified. The authors present a case of an infant with chronic intestinal pseudoobstruction of unknown aetiology, who needed total parenteral nutrition, and showed slow but consistent improvement of symptoms after enterostomy and prokinetic medical treatment. We emphasize the rarity of the disease, the difficulty of the diagnosis, and the absence of well defined and effective therapies. It is often used conservative treatment, to improve symptoms and promote intestinal motility.
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Keywords
Citation
Nascer e Crescer 2006; 15(2): 91-96