Radiological Case

Authors

  • Mariana Pinto Neonatology, Pediatric Department, H São Sebastião, CH Entre Douro e Vouga
  • Fernando Pereira Pediatric Gastrenterology, CH Porto
  • Filipe Macedo Medical Imaging Service

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v22.i2.10776

Keywords:

Megacolon, intestinal pseudo-obstruction, cecostomy

Abstract

We present the clinical case of an 11 -year -old boy with cerebral palsy. He was observed in the Gastroenterology Department for the presence of recurrent episodes of vomiting (bilious and/or fecaloides) with one year of development, preceded by pallor, sweating, sense of abdominal pain and abdominal swelling. Recently the episodes occur every week. The abdominal Computed Tomography (CT) showed megacolon compatible with the diagnosis of ileocolic intestinal pseudo -obstruction. Laparoscopic cecostomy was performed for decompression of exuberant aerocolia, result of permanent aerophagia typical of adolescents with cerebral palsy, allowing the administration of antegrade enemas in order to improve the constipation.

References

Camilleri M. Chronic intestinal pseudo -obstruction. UptoDate

[updated 2012 August 28]. Disponível em: http://www.

uptodate.com/contents/chronic -intestinal -pseudo -obstruction

Araújo LA, Silva LR, Mendes FA. Digestive tract neural control

and gastrointestinal disorders in cerebral palsy. J Pediatr (Rio

J) 2012;88:455 -64.

Teixeira C, Lima R, Ferreira H, Recamen M, Martins E, Ramos

A, et al. Pseudo -obstrução Intestinal – Caso Clínico. Nascer

e Crescer 2006;15:91 -6.

Wyllie R. Motility Disorders and Hirschsprung Disease. In:

Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors.

Nelson Textbook of Pediatrics. 18th ed. Philadelphia: WB

Saunders Company; 2007. p.1564 -8.

Published

2017-01-31

How to Cite

Pinto, M., Pereira, F., & Macedo, F. (2017). Radiological Case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 22(2), 113–114. https://doi.org/10.25753/BirthGrowthMJ.v22.i2.10776

Issue

Section

Imaging Cases

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