CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 3  |  Page : 169-171

Intestinal pseudo-obstruction following oral baclofen: An unusual complication


1 Department of General Surgery, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India
2 Department of Neurosurgery, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India

Correspondence Address:
Vilvapathy Senguttuvan Karthikeyan
Department of General Surgery, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry - 605 102
India
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Source of Support: Nil, Conflict of Interest: None declared.


DOI: 10.4103/0976-500X.162010

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Baclofen is a gamma- aminobutyric acid B (GABA B) agonist used for the management of spasticity associated with spinal cord injury. Oral baclofen might cause constipation, but intestinal pseudo-obstruction is very rare. We report a 50-year-old male with spasticity following cervical discectomy (C3-4) on oral baclofen for 6 months with intestinal pseudo-obstruction. He had undergone open suprapubic cystostomy for traumatic urethral injury, 45 days prior to the presentation and adhesive intestinal obstruction was also considered a possibility. However, there were no air fluid levels on abdominal radiographs and ultrasound abdomen was non-contributory. Withdrawal of baclofen was therapeutic in this patient. This case is being reported to highlight the rare possibility of oral baclofen induced intestinal pseudo-obstruction.


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