Constipation in transverse myelitis

Abstract

Transverse myelitis is an extremely rare neuroinflammatory disorder. About half of the affected patients develop paraplegia associated with urinary and bowel dysfunction. The bowel dysfunction is thought to be benign and is usually managed with dietary management and laxatives. We report a case of a man in his 60s presenting with transverse myelitis and the acute disease course complicated with treatment refractory intestinal dysfunction resulting in intestinal perforation, eventually leading to his death. Thus, this case helps us weigh the fact that intestinal dysfunction in the case of transverse myelitis is not always benign but can lead to deadly outcomes as well.

Gastrointestinal dysautonomia as a manifestation of transverse myelitis: Case report

“…De la afectación parasimpática, el nervio Vago y los nervios S2-4 que se encargan de la inervación del intestino anterior, medio y posterior dan como resultado un tiempo de tránsito lento. En combinación, el tránsito lento y el aumento del tono del esfínter, junto con la pérdida de la sensación de plenitud rectal, (8) pueden provocar estreñimiento grave . En el caso presente, el estreñimiento crónico incluso condiciono dos episodio de oclusión intestinal que requirieron manejo quirúrgico.…”

COVID-19 associated transverse myelitis: case report

“…Autonomic dysfunction presents as urinary retention, incontinence, constipation, and sexual dysfunction 15,16 .…”