Author:
Liu Chang,Lio Ka U,Le Yiping,Wang Chuan,Kang Xin,Lin Jianhua,Zhang Yu,Zhang Ning
Abstract
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.
Funder
Natural Science Foundation of Science and Technology Commission of Shanghai Municipality
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology