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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

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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. K Nassenstein1,
  2. B Schweiger1,
  3. M Kamler2,
  4. J Stattaus3,
  5. T Lauenstein3,
  6. J Barkhausen3
  1. 1Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany
  2. 2Department of Cardiothoracic Surgery, University Hospital Essen, Germany
  3. 3Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany
  1. Correspondence to:
    Dr K Nassenstein
    Department for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstrasse 55, D-45122 Essen, Germany; kai.nassensteinuni-essen.de

https://doi.org/10.1136/gut.2005.075994

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    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 …

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    • Conflict of interest: None declared.