Psyllium Overdose During Bowel Preparation Leading to Pneumatosis Intestinalis.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2025-09-10 eCollection Date: 2025-09-01 DOI:10.14309/crj.0000000000001820
Parker Penny, Steven Lorch
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引用次数: 0

Abstract

Bowel preparation for colonoscopy can lead to severe complications if mismanaged. We present a case of a 53-year-old man who developed small bowel obstruction and pneumatosis intestinalis due to a medication error, confusing polyethylene glycol with psyllium. While generally safe, psyllium is known to cause obstruction if ingested in large quantities. While the patient responded well to conservative treatment, this case demonstrates a serious complication of laxative misuse. Clear patient education is essential for the safety and efficacy of bowel preparation before colonoscopy.

Abstract Image

Abstract Image

肠准备期间车前草过量导致肠肺病。
如果处理不当,结肠镜检查前的肠道准备会导致严重的并发症。我们报告一个53岁的男性病例,由于用药错误,将聚乙二醇与车前草混淆,导致小肠梗阻和肠肺病。虽然车前草通常是安全的,但如果大量摄入会引起梗阻。虽然患者对保守治疗反应良好,但本病例显示了泻药滥用的严重并发症。明确的患者教育对于结肠镜检查前肠道准备的安全性和有效性至关重要。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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