Chronic idiopathic intestinal pseudo-obstruction associated with volvulus of the transverse colon. The identical mode of clinical presentation and of the intestinal manometric pattern in monozygotic twins

Two monozygotic female twins with chronic idiopathic intestinal pseudo-obstruction associated with transverse colon volvulus are described. Quite similar clinical events and temporal coincidences characterized the symptoms which has preceded and followed right colectomy undergone by both of them due...

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Bibliographic Details
Published inMinerva gastroenterologica e dietologica Vol. 40; no. 1; p. 37
Main Authors Pustorino, S, Polimeni, F, Migliorato, D, Luzza, G, Calipari, G, Federico, G, Lauria, A, Borrello, P, Consolo, F
Format Journal Article
LanguageItalian
Published Italy 01.03.1994
Subjects
Adult
Chronic Disease
Colectomy
Colonic Diseases - diagnosis
Colonic Diseases - surgery
Constipation - diagnosis
Constipation - surgery
Diseases in Twins - diagnosis
Diseases in Twins - therapy
Esophagus - physiopathology
Female
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - surgery
Intestinal Pseudo-Obstruction - diagnosis
Intestinal Pseudo-Obstruction - surgery
Intestines - physiopathology
Manometry - instrumentation
Manometry - methods
Twins, Monozygotic
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Summary:Two monozygotic female twins with chronic idiopathic intestinal pseudo-obstruction associated with transverse colon volvulus are described. Quite similar clinical events and temporal coincidences characterized the symptoms which has preceded and followed right colectomy undergone by both of them due to intestinal volvulus. The esophageal, gastroduodenal, colonic and anorectal manometric investigation revealed very similar alterations in both girls. Increased amplitude of distal contractions of the esophagus, a depressed fasting antro-duodenal motility, with absence into antrum and oro-aboral non-propagation in the duodenum of the phase III activity of the interdigestive motor complex were the main findings along with a state of pronounced colonic hypomotility and an hypoesthesia of the rectal ampulla to the volumetric stimulus. This report indicates the association between chronic intestinal pseudo-obstruction and transverse colon volvulus in monozygotic female twins, and it points out the rarity both of the specific symptomatic coincidences and the similar clinical events and of the almost absolute identity of the intestinal motor patterns.
ISSN:1121-421X