Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause

© 2020, International Spinal Cord Society. Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment. Ca...

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Main Authors: Sintip Pattanakuhar, Apichana Kovindha
Format: Journal
Published: 2020
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Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85087015901&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70744
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spelling th-cmuir.6653943832-707442020-10-14T08:46:07Z Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause Sintip Pattanakuhar Apichana Kovindha Medicine Neuroscience © 2020, International Spinal Cord Society. Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment. Case presentation: A 57-year-old male with C4 AIS C tetraplegia developed nausea and vomiting, abdominal distension and feeding intolerance. Serum electrolytes indicated severe hyponatremia. A provisional diagnosis of pseudo-gut obstruction was made. After the failure of 48 h of conservative treatment with a nasogastric and rectal tube, abdominal CT was performed and revealed sigmoid volvulus. Conclusions: Due to the inconclusive clinical features and lack of subjective complaints, early use of CT scan or MRI is preferable in people with SCI who are suspected of an emergency intra-abdominal condition. 2020-10-14T08:40:39Z 2020-10-14T08:40:39Z 2020-12-01 Journal 20586124 2-s2.0-85087015901 10.1038/s41394-020-0305-6 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85087015901&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70744
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Medicine
Neuroscience
spellingShingle Medicine
Neuroscience
Sintip Pattanakuhar
Apichana Kovindha
Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
description © 2020, International Spinal Cord Society. Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment. Case presentation: A 57-year-old male with C4 AIS C tetraplegia developed nausea and vomiting, abdominal distension and feeding intolerance. Serum electrolytes indicated severe hyponatremia. A provisional diagnosis of pseudo-gut obstruction was made. After the failure of 48 h of conservative treatment with a nasogastric and rectal tube, abdominal CT was performed and revealed sigmoid volvulus. Conclusions: Due to the inconclusive clinical features and lack of subjective complaints, early use of CT scan or MRI is preferable in people with SCI who are suspected of an emergency intra-abdominal condition.
format Journal
author Sintip Pattanakuhar
Apichana Kovindha
author_facet Sintip Pattanakuhar
Apichana Kovindha
author_sort Sintip Pattanakuhar
title Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
title_short Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
title_full Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
title_fullStr Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
title_full_unstemmed Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
title_sort colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85087015901&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70744
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