医学
结肠镜检查
囊性纤维化
乙酰半胱氨酸
PEG比率
腹痛
腹胀
胃肠病学
外科
聚乙二醇
回肠
保守治疗
肠梗阻
内科学
化学
抗氧化剂
结直肠癌
财务
经济
工程类
癌症
生物化学
化学工程
作者
Ikenna K. Emelogu,Cynthia N. Tran,Wendy R. Greene,Joshua Novak
标识
DOI:10.1016/j.jcf.2023.06.014
摘要
We describe a case of a 46-year-old woman with cystic fibrosis who presented with several days of abdominal pain and distension. She was found to have a small bowel obstruction with inspissated stool in the distal ileum on CT imaging. Despite initial management with conservative measures, her symptoms worsened. She was taken for urgent colonoscopy with administration of 4% N-acetylcysteine (NAC) and polyethylene glycol (PEG) at the distal ileum with resultant dissolution of the fecalith. Over the following days, her symptoms improved, and she was discharged with outpatient follow-up.
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