Mechanical ileus caused by a tablet of Tralgit SR 100 stuck in a stenotic rectum affected by carcinoma: case report and literature survey
2011
Abstract
A patient with an advanced carcinoma in the rectosigmoideum was taken for urgent operation because of abdominal pain, significant distension of colon, clinical symptoms and radiological proofs of ileus. The cause of the complete obstruction of the proximal rectum which was significantly narrowed by a tumour was one tablet of Tralgit SR 100, which had been administered to the patient for 4 weeks after osteosynthesis of the right femur neck following fracture.
The mechanical ileus was solved by operation according to Hartmann. This case has two aspects: 1) surgical - mechanical ileus resulting from a rare set of circumstances, and 2) pharmacological and metabolic - disorder of medicament absorption in the digestive tract.