A case of recurrent course of syndrome of acute pseudoobstruction of large intestine (APLI) in a 64-year-old man against a background of Parkinson’s disease, which was hospitalized with the classic clinical picture of the acute large intestine impassability, confirmed roentgenologic is described in article.
A patient was urgentlty operated after conducting preoperation preparation, cecostomy was executed. With next examination — phybrocolonoscopy implementation, Spiral CT pathology of organs of abdominal and retroperitonial space was excluded. The causes of development of acute pseudoobstructive large intestine impassability were intestinal ischemia with concomitant cardiac pathology, and also administration of antiparkinsonian drugs. After the planned restoration of intstinal continuity a patient was discharged for the ambulatory stage of observation and medical treatment.
During subsequent three years a patient was twice hospitalized in the surgical department with the APLI relapse, which were caused by change of dose of administered anti-seizure drugs and diet.
In both cases of disease relapse it was succeeded to recover an adequate intestinal peristalsis during 24–48 hours, its timely emptying and improvement of state of patient, which confirmed the correctness of the chosen treatment management, and saved a patient and surgeon from the forced surgical decompression of the large intestine.