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Distal intestinal obstruction syndrome in the early postoperative period after lung transplantation in a patient with cystic fibrosis: morphological findings on computed tomography

¹ Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany
² Department of Cardiothoracic Surgery, University Hospital Essen, Germany
³ Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany

Correspondence to:
Correspondence to:
Dr K Nassenstein
Department for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstrasse 55, D-45122 Essen, Germany; kai.nassenstein@uni-essen.de

Keywords: distal intestinal obstruction syndrome; computed tomography; cystic fibrosis; mucoviscidosis

The first 150 words of the full text of this article appear below.

Distal intestinal obstruction syndrome (DIOS) occurs in 15.9% of adults with cystic fibrosis (CF).¹ Usually the diagnosis is based on history, physical examination, and plain abdominal roentgenogram. The increased risk of gastrointestinal complications such as DIOS is well known after lung transplantation.^2,3 Due to the added risk of gastrointestinal surgery in the postoperative period⁴ and the generally good response to conservative treatment, it is necessary to distinguish DIOS from other gastrointestinal complications. Nevertheless, descriptions of computed tomographical patterns of DIOS in the international literature are rare.⁵

We present the case of a 34 year old male suffering from end stage CF. Because of gastrointestinal manifestations of CF, the patient had exocrine pancreas insufficiency. As a consequence of deterioration in respiratory function, lung transplantation was performed. Despite enzymatic and propulsive medical treatment the patient developed an acute abdomen during the postoperative period. To determine the cause of his symptoms abdominal radiographs . . . [Full text of this article]