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  • Title: Intestinal pseudo-obstruction as initial presentation of thymoma.
    Author: Musthafa CP, Moosa A, Chandrashekharan PA, Nandakumar R, Narayanan AV, Balakrishnan V.
    Journal: Indian J Gastroenterol; 2006; 25(5):264-5. PubMed ID: 17090854.
    Abstract:
    A 45-year-old-man presented with severe vomiting, constipation, abdominal distention and bilateral ocular abductor palsy. Evaluation revealed diffuse autonomic dysfunction characterized by intestinal pseudo-obstruction, xerophthalmia, xerostomia, postural hypotension, erectile dysfunction and loss of sinus arrhythmia. Paraneoplastic work-up revealed thymoma. Most symptoms resolved after surgical removal of the thymoma. Six weeks later he developed worsening of external ophthalmoparesis with ptosis, responding to acetylcholinesterase inhibitor, confirming myasthenia gravis.
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