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The value of full‐thickness bowel biopsy in the management of acute intestinal pseudo‐obstruction
Author(s) -
Gokul Krishnan,
Iddon Julie,
Brown M. Anita,
Campbell Fiona,
Artioukh Dmitri Y.
Publication year - 2005
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2005.00218.x
Subject(s) - medicine , occult , myenteric plexus , biopsy , laparotomy , intestinal motility , bowel obstruction , gastroenterology , surgery , pathology , motility , immunohistochemistry , alternative medicine , biology , genetics
A case of paraneoplastic syndrome leading to inflammatory neuropathy of the intestinal myenteric (Auerbach’s) plexus and manifesting as an acute pseudo‐obstruction is reported. Surgical intervention and full‐thickness small bowel biopsy proved to be the only way to establish the reason for impaired intestinal motility and lead to the diagnosis of otherwise occult bronchial neoplasia. The value of full‐thickness intestinal biopsy during negative laparotomy for suspected mechanical bowel obstruction is discussed.