Megaesophagus and Megaduodenum Found Incidentally on a Routine Chest Radiograph During a Health Examination

Chronic idiopathic intestinal pseudo-obstruction (CIIP) caused by impaired intestinal peristalsis leads to intestinal obstructive symptoms. A 20-year-old man had marked esophageal dilatation that was found incidentally on chest radiography during a health examination. Chest/abdominal contrast-enhanc...

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Detalles Bibliográficos
Autores principales: Arai, Yoshinori, Ogawa, Maiko, Arimoto, Rikako, Ando, Yoshitaka, Endo, Daisuke, Nakada, Tatsuya, Sugawara, Ichiro, Yokoyama, Hiroshi, Shimoyama, Keiko, Inomata, Hiroko, Kawahara, Yosuke, Kato, Masayuki, Arihiro, Seiji, Hokari, Atsushi, Saruta, Masayuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313925/
https://www.ncbi.nlm.nih.gov/pubmed/33518569
http://dx.doi.org/10.2169/internalmedicine.6324-20
Descripción
Sumario:Chronic idiopathic intestinal pseudo-obstruction (CIIP) caused by impaired intestinal peristalsis leads to intestinal obstructive symptoms. A 20-year-old man had marked esophageal dilatation that was found incidentally on chest radiography during a health examination. Chest/abdominal contrast-enhanced computed tomography and endoscopy showed marked esophageal and duodenal dilatation without mechanical obstruction. Upper gastrointestinal series and high-resolution esophageal manometry revealed absent peristalsis in the dilated part. CIIP was suspected in the patient's father, suggesting familial CIIP. The patient likely had signs of pre-onset CIIP. This is the first case of suspected CIIP in which detailed gastrointestinal tract examinations were performed before symptoms appeared.

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