Intestinal pseudoobstruction caused by a new form of visceral neuropathy: palliation by radical small bowel resection

Gastroenterology. 1985 Nov;89(5):1152-6. doi: 10.1016/0016-5085(85)90223-9.


We report a case of chronic intestinal pseudoobstruction caused by a newly recognized type of degenerative neuropathy of the myenteric plexus. Failure to improve despite aggressive medical management led to radical resection of the clinically involved small intestine. At follow-up 10 mo later, the patient is doing well without the need for parenteral nutrition. Radical resection of the small intestine may be necessary for palliation in rare patients with intractable pseudoobstruction.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Autonomic Nervous System Diseases / complications*
  • Autonomic Nervous System Diseases / surgery
  • Follow-Up Studies
  • Humans
  • Ileum / innervation
  • Intestinal Obstruction / etiology*
  • Intestine, Small / diagnostic imaging
  • Intestine, Small / innervation*
  • Intestine, Small / surgery
  • Jejunum / innervation
  • Male
  • Myenteric Plexus / pathology
  • Nausea / etiology
  • Neurons / pathology
  • Palliative Care
  • Peristalsis
  • Postoperative Complications / etiology
  • Radiography
  • Staining and Labeling