Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review
Abstract Background Intestinal pseudo-obstruction (IPO) is a rare disease, and its clinical manifestations can resemble mechanical intestinal obstruction leading to unnecessary and potentially harmful surgery. Certain autoimmune diseases have been associated with IPO, however, cases secondary to Sjö...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05757-5 |
| _version_ | 1797789470849761280 |
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| author | Chang Liu Ka U Lio Yiping Le Chuan Wang Xin Kang Jianhua Lin Yu Zhang Ning Zhang |
| author_facet | Chang Liu Ka U Lio Yiping Le Chuan Wang Xin Kang Jianhua Lin Yu Zhang Ning Zhang |
| author_sort | Chang Liu |
| collection | DOAJ |
| description | Abstract Background Intestinal pseudo-obstruction (IPO) is a rare disease, and its clinical manifestations can resemble mechanical intestinal obstruction leading to unnecessary and potentially harmful surgery. Certain autoimmune diseases have been associated with IPO, however, cases secondary to Sjögren’s syndrome (SjS) are especially rare. Case presentation We described the first case of SjS-associated acute IPO in pregnancy, which was successfully treated with combined immunosuppressive therapy and resulted in an uneventful caesarean delivery. Conclusions Women with SjS is likely to experience more complications during pregnancy, and IPO rather than the classic symptoms could be the first sign of SjS flares. IPO should be suspected in patients with unrelenting symptoms of small bowel obstruction, and a multidisciplinary approach can provide optimal management of such high-risk pregnancies. |
| first_indexed | 2024-03-13T01:51:08Z |
| format | Article |
| id | doaj.art-071328bbafe840b7b3f2c6ff46e8e769 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T01:51:08Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-071328bbafe840b7b3f2c6ff46e8e7692023-07-02T11:29:25ZengBMCBMC Pregnancy and Childbirth1471-23932023-06-012311610.1186/s12884-023-05757-5Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature reviewChang Liu0Ka U Lio1Yiping Le2Chuan Wang3Xin Kang4Jianhua Lin5Yu Zhang6Ning Zhang7Department of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Medicine, Temple University Hospital, Lewis Katz School of Medicine at Temple UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Obstetrics and Gynecology, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityAbstract Background Intestinal pseudo-obstruction (IPO) is a rare disease, and its clinical manifestations can resemble mechanical intestinal obstruction leading to unnecessary and potentially harmful surgery. Certain autoimmune diseases have been associated with IPO, however, cases secondary to Sjögren’s syndrome (SjS) are especially rare. Case presentation We described the first case of SjS-associated acute IPO in pregnancy, which was successfully treated with combined immunosuppressive therapy and resulted in an uneventful caesarean delivery. Conclusions Women with SjS is likely to experience more complications during pregnancy, and IPO rather than the classic symptoms could be the first sign of SjS flares. IPO should be suspected in patients with unrelenting symptoms of small bowel obstruction, and a multidisciplinary approach can provide optimal management of such high-risk pregnancies.https://doi.org/10.1186/s12884-023-05757-5Intestinal pseudo-obstruction (IPO)Sjögren’s syndrome (SjS)Pregnancy |
| spellingShingle | Chang Liu Ka U Lio Yiping Le Chuan Wang Xin Kang Jianhua Lin Yu Zhang Ning Zhang Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review BMC Pregnancy and Childbirth Intestinal pseudo-obstruction (IPO) Sjögren’s syndrome (SjS) Pregnancy |
| title | Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review |
| title_full | Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review |
| title_fullStr | Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review |
| title_full_unstemmed | Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review |
| title_short | Acute intestinal pseudo-obstruction secondary to Sjogren’s syndrome in pregnancy: a case report and literature review |
| title_sort | acute intestinal pseudo obstruction secondary to sjogren s syndrome in pregnancy a case report and literature review |
| topic | Intestinal pseudo-obstruction (IPO) Sjögren’s syndrome (SjS) Pregnancy |
| url | https://doi.org/10.1186/s12884-023-05757-5 |
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