A Case of Colonic Pseudoobstruction Related to Bacterial Overgrowth Due to a Sigmoidocecal Fistula / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 125-128, 2014.
Article
in English
| WPRIM
| ID: wpr-62192
ABSTRACT
Colocolic fistulas are usually a complication of an inflammatory or neoplastic process. Development of these abnormal bowel communications may lead to bacterial overgrowth. We report on a 71-year-old man with a one-year history of recurrent abdominal distension and irregular bowel habits. Abdominal X-rays and computed tomography showed multiple air-fluid levels and loops of distended bowel without evidence of mechanical obstruction or diverticulitis. Colonoscopy showed a fistulous tract between the sigmoid colon and cecum. Results of a lactulose breath test showed high fasting breath CH4 levels, which were thought to be the result of intestinal bacterial overgrowth. The patient was diagnosed with a colonic pseudo-obstruction associated with bacterial overgrowth due to a sigmoidocecal fistula. We recommended surgical correction of the sigmoidocecal fistula; however, the patient requested medical treatment. After antibiotic therapy, the patient still had mild symptoms but no acute exacerbations.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Colonic Pseudo-Obstruction
/
Breath Tests
/
Tomography, X-Ray Computed
/
Colonoscopy
/
Intestinal Fistula
/
Methane
/
Anti-Bacterial Agents
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Gastroenterology
Year:
2014
Type:
Article
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