Systemic Sclerosis Sine Scleroderma as a Rare Etiology of Chronic Intestinal Pseudo-Obstruction

Mitchell Edwards, J. Ray, Ahmad M. Al-Taee, Elizabeth V. Marsicano
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Abstract

Chronic intestinal pseudo-obstruction (CIPO) is a disruption of the enteric nervous system characterized by chronic intestinal dysmotility and dilation. It has many underlying causes. We present a 52-year-old woman with 53 kg unintentional weight loss, abdominal pain, and vomiting. She had dilated small bowel loops with air fluid levels and no transition point on CT. Esophagogastroduodenoscopy (EGD) revealed aperistalsis and undigested duodenal food. The secondary cause was found to be Undifferentiated Connective Tissue Disorder (UCTD), a rheumatologic disorder that does not meet criteria for any single disease. This is the first reported case of UCTD being presented by CIPO.
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系统性硬化症:慢性肠道假性梗阻的罕见病因
慢性肠假性梗阻(CIPO)是一种以慢性肠蠕动障碍和扩张为特征的肠神经系统破坏。它有许多潜在的原因。我们报告一名52岁女性,意外体重减轻53公斤,腹痛和呕吐。她有扩张的小肠袢,有空气液面,CT上没有过渡点。食管胃十二指肠镜(EGD)显示胃蠕动和未消化的十二指肠食物。继发病因为未分化结缔组织疾病(UCTD),这是一种不符合任何单一疾病标准的风湿病。这是CIPO报告的首例UCTD病例。
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