Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 30: Abdominal Distention Within The Intensive Care Unit (continued)

Karen Krok, MD

A 59-year-old man who was Day 220 following an autologous bone marrow transplantation for diffuse B cell lymphoma was hospitalized for shortness of breath and respiratory failure. While intubated in the intensive care unit, he was noted to have progressive abdominal distention on examination by the nursing staff. According to the nursing records, his last bowel movement was 4 days prior. A bisacodyl suppository and tap water enema were ordered to promote lower GI motility. Only a small bowel movement was produced with no change in his abdominal distension. Upon physical exam by the intensive…