{"title":"Psyllium Overdose During Bowel Preparation Leading to Pneumatosis Intestinalis.","authors":"Parker Penny, Steven Lorch","doi":"10.14309/crj.0000000000001820","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01820"},"PeriodicalIF":0.5000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422764/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001820","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
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.
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.