Idiopathic intestinal pseudo-obstruction and contaminated small bowel syndrome--treatment with metronidazole, ileostomy, and indomethacin.

Abstract	A 28-year-old Iranian man with chronic idiopathic intestinal pseudo-obstruction presented with gross features of contaminated bowel syndrome. Treatment with metronidazole reversed steatorrhea but exacerbated the gaseous distention of the small intestine, precipitating emergency surgical decompression and ileostomy. A chronic high volume ileostomy diarrhea ensued and was successfully treated with oral indomethacin.
Authors	A Keshavarzian, P Isaacs, I McColl, G E Sladen
Journal	The American journal of gastroenterology (Am J Gastroenterol) Vol. 78 Issue 9 Pg. 562-5 (Sep 1983) ISSN: 0002-9270 [Print] United States
PMID	6688501 (Publication Type: Case Reports, Journal Article)
Chemical References	Metronidazole Indomethacin
Topics	Adult Body Weight Constipation (etiology) Humans Ileostomy Indomethacin (therapeutic use) Intestinal Obstruction (surgery) Intestinal Pseudo-Obstruction (complications, drug therapy, surgery) Intestine, Small (microbiology) Male Metronidazole (therapeutic use)

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