NCT04613063

Proximal Intestinal Obstruction Syndrome (PIOS) in a Patient With Cystic Fibrosis: A New Syndrome

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1 (actual)
• Sponsor: Tecnologico de Monterrey · Academic / Other
• Sex: Male
• Age: —
• Healthy volunteers: Not accepted

Summary

A case of a patient with cystic fibrosis with bowel obstruction due to a proximal intestinal obstruction syndrome (PIOS) is presented.This syndrome can be diagnosed with the DIOS definition, with the only distinction of a more proximal location in the gastrointestinal tract, such as the stomach, the duodenum, or the jejunum.

Detailed description

Distal Intestinal Obstruction Syndrome is a rare complication in cystic fibrosis patients characterized by the accumulation of viscid fecal material, combined with sticky mucous secretions located in the distal ileum, adhered to the intestinal wall. Only few cases have been reported in the literature.

Conditions

• Cystic Fibrosis
• Bowel Obstruction
• Distal Intestinal Obstruction Syndrome

Interventions

Type	Name	Description
OTHER	Diagnostic laparoscopy	A diagnostic laparoscopy was performed where a dilated jejunum was encountered with impaction of fecal content. Surgery was converted to open surgery, where a longitudinal enterotomy of 5 cm after the transition zone was created, evacuating manually the fecal material with mucous secretion.

Timeline

• Start date: 2020-10-19
• Primary completion: 2020-10-20
• Completion: 2020-10-21
• First posted: 2020-11-03
• Last updated: 2020-11-03

Locations

1 site across 1 country: Mexico