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Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent.
Tech Coloproctol. 2005 Apr; 9(1):42-4.TC

Abstract

Meconium ileus equivalent is one of the lesser-known manifestations of cystic fibrosis. It manifests as distant small bowel obstruction caused by meconium-like stool plugs and occurs mostly in adult patients. With the improved overall survival of patients with cystic fibrosis, general surgeons may encounter this condition more often in the future. We treated a 19-year-old woman with cystic fibrosis who presented with complete distal small bowel obstruction. Medical therapy with Gastrografin and N-acetylcysteine failed to resolve the obstruction. At surgery, a meconium-like plug in the distal ileum was manually pushed into the colon with subsequent relief of symptoms. Meconium ileus equivalent should be considered and treated in cystic fibrosis patients presenting with small bowel obstruction.

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Authors+Show Affiliations

Khaitov S
Department of Surgery, Hadassah University Hospital Mount Scopus, Hebrew University, Hadassah Medical School, 24035, Jerusalem Il-91240, Israel.
Nissan A
No affiliation info available
Beglaibter N
No affiliation info available
Freund HR
No affiliation info available

MeSH

AdultCystic FibrosisFemaleHumansIntestinal ObstructionIntestine, SmallMeconium

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15868498

Citation

Khaitov, S, et al. "Failure of Medical Treatment in an Adult Cystic Fibrosis Patient With Meconium Ileus Equivalent." Techniques in Coloproctology, vol. 9, no. 1, 2005, pp. 42-4.
Khaitov S, Nissan A, Beglaibter N, et al. Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent. Tech Coloproctol. 2005;9(1):42-4.
Khaitov, S., Nissan, A., Beglaibter, N., & Freund, H. R. (2005). Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent. Techniques in Coloproctology, 9(1), 42-4.
Khaitov S, et al. Failure of Medical Treatment in an Adult Cystic Fibrosis Patient With Meconium Ileus Equivalent. Tech Coloproctol. 2005;9(1):42-4. PubMed PMID: 15868498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Failure of medical treatment in an adult cystic fibrosis patient with meconium ileus equivalent. AU - Khaitov,S, AU - Nissan,A, AU - Beglaibter,N, AU - Freund,H R, PY - 2003/03/20/received PY - 2003/12/22/accepted PY - 2005/5/4/pubmed PY - 2009/3/12/medline PY - 2005/5/4/entrez SP - 42 EP - 4 JF - Techniques in coloproctology JO - Tech Coloproctol VL - 9 IS - 1 N2 - Meconium ileus equivalent is one of the lesser-known manifestations of cystic fibrosis. It manifests as distant small bowel obstruction caused by meconium-like stool plugs and occurs mostly in adult patients. With the improved overall survival of patients with cystic fibrosis, general surgeons may encounter this condition more often in the future. We treated a 19-year-old woman with cystic fibrosis who presented with complete distal small bowel obstruction. Medical therapy with Gastrografin and N-acetylcysteine failed to resolve the obstruction. At surgery, a meconium-like plug in the distal ileum was manually pushed into the colon with subsequent relief of symptoms. Meconium ileus equivalent should be considered and treated in cystic fibrosis patients presenting with small bowel obstruction. SN - 1123-6337 UR - https://www.unboundmedicine.com/medline/citation/15868498/Failure_of_medical_treatment_in_an_adult_cystic_fibrosis_patient_with_meconium_ileus_equivalent_ L2 - https://dx.doi.org/10.1007/s10151-005-0191-8 DB - PRIME DP - Unbound Medicine ER -