Chronic Intestinal Pseudoobstruction Associated with Inflammatory Visceral Neuropathy - A Case Report -
배영경, 최준혁, 김미진, 김동석, 박원규, 김재황,
소속 상세정보
배영경 ( Bae Young-Kyung )
영남대학교 의과대학 병리학교실
최준혁 ( Choi Joon-Hyuk )
영남대학교 의과대학 병리학교실
김미진 ( Kim Mi-Jin )
영남대학교 의과대학 병리학교실
김동석 ( Kim Dong-Sug )
영남대학교 의과대학 병리학교실
박원규 ( Park Won-Kyu )
영남대학교 의과대학 영상의학과학교실
김재황 ( Kim Jae-Hwang )
영남대학교 의과대학 외과학교실
KMID : 0357920040380030191
Abstract
The pathogenesis of chronic intestinal pseudoobstruction (CIP) presents a broad spectrum of etiologies. Among them, visceral neuropathy and myopathy are two major pathologic conditions. We report here on a very rare case of CIP associated with inflammatory visceral neuropathy involving the terminal ileum, appendix and entire colon in a 64-year-old woman who did not have any detectable neoplasm or family history of this disease. Microscopically, the submucosal and myenteric plexuses showed a severe and diffuse lymphoplasmacytic infiltrate with degenerative changes of the ganglion cells and nerve fibers. The pathogenesis of the inflammatory reaction is unclear for our patient, but we think that this would be a rare example of idiopathic and sporadic visceral neuropathy resulting in chronic intestinal pseudoobstruction.
키워드
Intestinal Pseudoobstruction;Neuropathy
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