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  • Title: Idiopathic intestinal pseudo-obstruction and contaminated small bowel syndrome--treatment with metronidazole, ileostomy, and indomethacin.
    Author: Keshavarzian A, Isaacs P, McColl I, Sladen GE.
    Journal: Am J Gastroenterol; 1983 Sep; 78(9):562-5. PubMed ID: 6688501.
    Abstract:
    A 28-year-old Iranian man with chronic idiopathic intestinal pseudo-obstruction presented with gross features of contaminated bowel syndrome. Treatment with metronidazole reversed steatorrhea but exacerbated the gaseous distention of the small intestine, precipitating emergency surgical decompression and ileostomy. A chronic high volume ileostomy diarrhea ensued and was successfully treated with oral indomethacin.
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