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The Journal of Internal Korean Medicine > Volume 42(5); 2021 > Article
The Journal of Internal Korean Medicine 2021;42(5): 1094-1101.
doi: https://doi.org/10.22246/jikm.2021.42.5.1094
만성 거짓 장폐쇄로 진단한 상세불명의 복통 환자 증례 보고
하유빈, 장한솔, 신길조
동국대학교 분당한방병원 한방내과
A Case Report on Chronic Intestinal Pseudo-obstruction Presenting as Unspecified Abdominal Pain in an Adult
Yu-bin Ha, Han-sol Jang, Gil-cho Shin
Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital
Correspondence  Gil-cho Shin ,Tel: 031-710-3710, Fax: 031-710-3780, Email: shingcho@naver.com
Received: August 19, 2021,   Accepted: October 20, 2021,   Published online: October 30, 2021.
ABSTRACT
Objectives:
This study examined a case of chronic intestinal pseudo-obstruction (CIPO) in an adult with unspecified abdominal pain.

Methods:
The patient was treated with herbal medicine, acupuncture, and moxa. Treatment progress was evaluated by follow-up monitoring of the intensity, frequency, and duration (in hours) of abdominal pain and body weight.

Results:
The average abdominal pain level on the Numerical Rating Scale (NRS) and its incidence decreased. The duration of pain was 15 hours maximum and 2.5 hours minimum. The body weight repeatedly increased and decreased but increased overall. Despite no remarkable findings from X-rays, air-fluid levels and coil-shaped folds of the small bowel were observed.

Conclusions:
Korean medical treatment based on a dialectic effectively relieved chronic abdominal pain and suspected CIPO-a disease that requires continuous management and therapeutic intervention.
Key words: chronic intestinal pseudo-obstruction, abdominal pain, Korean medicine, herb-medicine
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