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Case Reports
. 2021 Jan 7;16(3):651-655.
doi: 10.1016/j.radcr.2020.12.061. eCollection 2021 Mar.

Radiological evaluation of a case of chronic intestinal pseudo-obstruction (CIPO)

Renato Trimarchi  1 , Carmela Visalli  1 , Chiara Quartararo  1 , Maria Cristina Lucanto  2 , Giovanni Di Nardo  3 , Nunzio Turiaco  4 , Ignazio Salamone  1
Affiliations
Case Reports

Radiological evaluation of a case of chronic intestinal pseudo-obstruction (CIPO)

Renato Trimarchi et al. Radiol Case Rep. .

Erratum in

Abstract

Chronic intestinal pseudo-obstruction (CIPO) is a severe form of gastrointestinal dysmotility (often due to derangement of the innervation and/or smooth muscle and/or interstitial cells of Cajal) with recurrent episodes of intestinal sub-occlusion. We describe a clinical setting and radiological features of CIPO in an 11-year-old girl with periodic relapses. Our attention was focused firstly on surgical causes, leading to a delay in the diagnosis; thus, is important detecting equivocal symptoms and considering the possible correlation to the CIPO for an early diagnosis and related prevention of acute episodes improving prognosis and quality of life of pediatric patients.

Keywords: Chronic intestinal pseudo-obstruction; Entero-Computed Tomography; Entero-Magnetic Resonance; Plain abdominal radiographs.

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Figures

Fig 1
Fig. 1
Plain radiograph. (A) Dilated small bowel loops on supine radiograph. (B) Multiple air and/or fluid levels on erect radiograph.
Fig 2
Fig. 2
Dilated loops of small bowel on abdomen CT.
Fig 3
Fig. 3
Esophageal ectasia on chest CT.
Fig 4
Fig. 4
Bladder distension on abdominal CT.
Fig 5
Fig. 5
Massive distension of small bowel without ischemic signs at exploratory laparotomy.
Fig 6
Fig. 6
Slow ileal transit time at fluoroscopic study associated with gastrectasis and distension of some ileal loops.
See this image and copyright information in PMC

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