Pang Michelle, Kuwada Scott
John A. Burns School of Medicine, University of Hawaii at Manoa, Department of Medicine, Honolulu, HI 96813, United States.
The Queen's Medical Center GI Services and Liver Center, Department of Gastroenterology, Honolulu, HI 96813, United States.
J Surg Case Rep. 2024 May 24;2024(5):rjae326. doi: 10.1093/jscr/rjae326. eCollection 2024 May.
We report a case of a 47-year-old male who presented with altered mental status. A review of his records revealed a weight loss of 20 lbs over the past 6 years, a recent hospitalization for idiopathic polyneuropathy with failure to thrive, and prior surgeries for peptic ulcer disease and small bowel obstruction. He was alert but had retrograde amnesia and peripheral neuropathy. A diagnosis was made, and the patient improved with treatment but was unfortunately left with irreversible neurological deficits. We discuss the importance of recognizing the extraintestinal manifestations of gastrointestinal dysfunction following gastrointestinal surgery.
我们报告一例47岁男性，其表现为精神状态改变。查阅他的病历发现，在过去6年里体重减轻了20磅，近期因特发性多发性神经病伴发育不良住院，既往有消化性溃疡病和小肠梗阻手术史。他意识清醒，但有逆行性失忆和周围神经病变。做出了诊断，患者经治疗后有所改善，但不幸的是留下了不可逆的神经功能缺损。我们讨论了认识胃肠道手术后胃肠道功能障碍肠外表现的重要性。
