Abstract
We discuss a case of surgically treated chronic idiopathic colonic pseudo-obstruction (CICP). A 74-year-old woman with a history of sigmoidectomy visited our hospital because of dyspnea and lower abdominal pain. Chest and abdominal X-ray imaging showed a markedly dilated transverse and descending colon and elevation of the left diaphragm. Suctioning of colon gas and stool by colonoscopy was performed, but proved ineffective. We diagnosed CICP and performed surgery. Intraoperatively, we resected the dilated colon and plicated the elevated diaphragm. Postoperatively, chest X-rays showed the fixed left diaphragm at the normal location. The postoperative course has been uneventful and all symptoms resolved.
