Síndrome de obstrucción intestinal distal en pacientes adultos con fibrosis quística. Casos clínicos

Distal Intestinal Obstruction Syndrome (DIOS) has a 16% incidence among patients with Cystic Fibrosis (CF). It is characterized by an intestinal obstruction secondary to fecal impaction in distal ileum or cecum. We report two adult patients with DIOS. A female with CF and subjected to a lung transplantation at the age of 13 years. Five years later, she consulted for an intestinal obstruction. She was treated conservatively with a good clinical evolution. She had a new episode of DIOS eight months later, that was also treated conservatively. A 31 year-old male, subjected to bilateral lung transplantation nine years before, that was admitted to the hospital for a bronchiolitis. Three days after admission he started with a intestinal obstruction, that was diagnosed as a DIOS. He was managed conservatively with a good clinical response.