Intestinal pseudo-obstruction as initial presentation of thymoma.
Article
in English
| IMSEAR
| ID: sea-64920
ABSTRACT
A 45-year-old-man presented with severe vomiting, constipation, abdominal distention and bilateral ocular abductor palsy. Evaluation revealed diffuse autonomic dysfunction characterized by intestinal pseudo-obstruction, xerophthalmia, xerostomia, postural hypotension, erectile dysfunction and loss of sinus arrhythmia. Paraneoplastic work-up revealed thymoma. Most symptoms resolved after surgical removal of the thymoma. Six weeks later he developed worsening of external ophthalmoparesis with ptosis, responding to acetylcholinesterase inhibitor, confirming myasthenia gravis.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pyridostigmine Bromide
/
Thymectomy
/
Thymoma
/
Thymus Neoplasms
/
Intestinal Pseudo-Obstruction
/
Humans
/
Male
/
Cholinesterase Inhibitors
/
Treatment Outcome
/
Middle Aged
Language:
English
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS