, Volume 57, Issue 12, pp 3076-3079
Date: 11 Mar 2012

Tube to Freedom: Use of a Venting Jejunostomy in a Patient with Chronic Intestinal Pseudo-Obstruction

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Case Presentation and Evolution

A 71-year-old Caucasian female with a longstanding history of digestive issues presented with acute abdominal pain, nausea, vomiting, bloating, and constipation. She reported her severe, intermittent epigastric pain, nausea and vomiting were triggered by both eating and drinking. Notably on the morning of admission, she had her first bowel movement in 7 days characterized as hard, followed by black, watery stool. No bright red blood was noted. Despite a long history of chronic abdominal pain, this episode was not relieved with her usual doses of oral hydromorphone and lorazepam. She denied fevers, chills, or dyspnea.

Her gastrointestinal symptoms began 16 years prior to presentation when she was diagnosed with bowel obstruction secondary to a sigmoid volvulus. This was immediately addressed with a laparotomy and a left colectomy. Interestingly, during the operation she was found to have organo-axial malrotation. In the following years she continued to have