Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 28: Colonic Obstruction In A Patient With Multiple Medical Problems (continued)

Karen Krok, MD

A 69-year-old African-American woman with a history of atrial fibrillation, chronic methadone use, and congestive heart failure presented with intermittent, recurrent abdominal pain and constipation. She was seen at an outside hospital for abdominal pain, distention, and lack of bowel movements 2 weeks prior to admission. A colonoscopy was attempted but it was unable to be completed due to a tortuous colon. She had some relief with enemas as well as oral bisacodyl and lactulose and was discharged with a diagnosis of severe constipation due to chronic methadone use. One week later, the same…
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