Abstract
We report here a case of surgical treatment of chronic idiopathic intestinal pseudo-obstruction (CIIP) with a duodenal tumor that had been refractory to conservative treatment.
A 63-year-old woman complaining of epigastralgia visited a local hospital in November 1998. She was diagnosed as having a duodenal adenoma based on upper gastrointestinal endoscopy and was performed EMR. Abdominal CT scan revealed dilatation of the duodenum as well as the colon, but no apparent lesions which might cause intestinal obstruction were identified by colonoscopy, and thus CIIP was diagnosed. She had been asymptomatic thereafter, but she became to have repeated abdominal fullness from 2005 and was referred to our hospital. CIIP with a recurrent duodenal adenoma was diagnosed based on findings of upper gastrointestinal endoscopy and small bowel enema, and local, resection of the duodenal tumor, gastrojejunostomy and ileocecal resection were performed. The post-operative course was uneventful. There have been no remarkable symptoms, as of about 2 years after the operation.
