Document Detail

Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent.
MedLine Citation:
PMID:  15868498     Owner:  NLM     Status:  MEDLINE    
Meconium ileus equivalent is one of the lesser-known manifestations of cystic fibrosis. It manifests as distant small bowel obstruction caused by meconium-like stool plugs and occurs mostly in adult patients. With the improved overall survival of patients with cystic fibrosis, general surgeons may encounter this condition more often in the future. We treated a 19-year-old woman with cystic fibrosis who presented with complete distal small bowel obstruction. Medical therapy with Gastrografin and N-acetylcysteine failed to resolve the obstruction. At surgery, a meconium-like plug in the distal ileum was manually pushed into the colon with subsequent relief of symptoms. Meconium ileus equivalent should be considered and treated in cystic fibrosis patients presenting with small bowel obstruction.
S Khaitov; A Nissan; N Beglaibter; H R Freund
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Techniques in coloproctology     Volume:  9     ISSN:  1123-6337     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-03     Completed Date:  2009-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  42-4     Citation Subset:  IM    
Department of Surgery, Hadassah University Hospital Mount Scopus, Hebrew University, Hadassah Medical School, 24035, Jerusalem Il-91240, Israel.
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MeSH Terms
Cystic Fibrosis / complications*
Intestinal Obstruction / complications,  surgery*
Intestine, Small / surgery

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