Summary and conclusions
A case is presented of a woman with scleroderma involving her entire digestive tract in a patchy distribution. Fecal impaction of a long segment of the left colon remained refractory to any treatment and produced partial intestinal obstruction until it was removed surgically. The difficulties of diagnosis and treatment of intestinal scleroderma are discussed. This is the first patient reported to have survived surgical removal of a sclerodermatous colonic segment.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arcilla, R., Bandler, M., Farber, M., andOlivar, A., Jr. Gastrointestinal scleroderma simulating chronic and acute intestinal obstruction.Gastroenterology 31:764, 1956.
Beigelman, P. M., Goldner, G., Jr., andBayles, T. B. Progressive systemic sclerosis (scleroderma).New England J. Med. 249: 45, 1953.
Bevans, M. Pathology of scleroderma, with special reference to the changes in the gastrointestinal tract.Am. J. Path. 21:25, 1945.
Evans, J. A., Rubitsky, H. J., andPerry, A. W. Treatment of diffuse progressive scleroderma.J.A.M.A. 15:891, 1953.
Goetz, R. H. Pathology of progressive systemic sclerosis (generalized scleroderma) with special reference to changes in viscera.Clin. Proc. 4: 337, 1945.
Gondos, B. Roentgen manifestations in progressive systemic sclerosis (diffuse scleroderma).Am. J. Roentgenol. 84:235, 1960.
Goldgraber, M. B., andKirsner, J. B. Scleroderma of the gastrointestinal tract: A review.A.M.A. Arch. Path. 64:255, 1957.
Hale, C. H., andSchatzki, R. The roentgenological appearance of the gastrointestinal tract in scleroderma.Am. J. Roentgenol. 51:407, 1944.
Herrington, J. L., Jr. Scleroderma as cause of small-bowel obstruction: Successful treatment of a case by intestinal resection.A.M.A. Arch. Surg. 78:17, 1959.
Lever, W. ACTH and cortisone in diseases of the skin.New England J. Med. 245: 359, 1951.
Lushbaugh, C. C., Rubin, L., andRothman, S. Scleroderma of intestinal tract; First report of fatal case.Gastroenterology 11: 382, 1948.
Marshall, I. Collagen disease of the small bowel.New England J. Med. 255:978, 1956.
Meszaros, W. T. Regional manifestations of scleroderma.Radiology 70:313, 1958.
Meszaros, W. T. The colon in systemic sclerosis (scleroderma).Am. J. Roentgenol. 82: 1000, 1959.
Osler, W. On diffuse scleroderma with special reference to diagnosis and to the use of thyroid gland extract.J. Cut. and Genito-urinary Dis. 16: 127, 1898.
Rake, G. Pathology of scleroderma.Bull. J. Hopkins Hosp. 48:212, 1931.
Rosenthal, F. D. Small intestinal lesions with steatorrhea in diffuse systemic sclerosis (scleroderma).Gastroenterology 32:332, 1957.
Skouby, A. P., andTeilum, G. Progressive systemic sclerosis with dominating gastrointestinal disturbances.Acta med. Scandinav. 137:111, 1950.
Sommerville, R. L., Bargen, J. A., andPugh, D. G. Scleroderma of the small intestine.Postgrad. Med. 26:356, 1959.
Stafne, E. C., andAustin, E. C. A characteristic dental finding in acrosclerosis and diffuse scleroderma.Am. J. Orthodontics (Oral Surg. Sect.) 30:25, 1944.
Talbott, J. H., andMoleres Ferrandis, R. Collagen Diseases. Grune, New York, 1956.
Winklemann, R. K. Treatment of systemic scleroderma.Proc. Staff Meet. Mayo Clin. 34: 55, 1959.
Author information
Authors and Affiliations
Additional information
The authors are indebted to Dr. John Steelquist, who performed the surgery reported in this paper.
Rights and permissions
About this article
Cite this article
Norton, R.A., Monroe, L.S. The surgical approach to gastrointestinal scleroderma. Digest Dis Sci 7, 766–772 (1962). https://doi.org/10.1007/BF02236114
Issue Date:
DOI: https://doi.org/10.1007/BF02236114