Hollow Visceral Myopathy: Diagnosis and Management

Abstract: The aetiology of hollow visceral myopathy remains poorly understood despite the review histology and is often misdiagnosed. It characterized by impaired intestinal function motility in absence mechanical obstruction, which may be familial (transmitted a dominant or recessive gene) sporadic. Familial rare hereditary myopathic degeneration both gastrointestinal (and urinary tracts) that causes chronic obstruction. Typically, it presents after first decade life with symptoms abdominal distension, pain, vomiting, constipation, diarrhoea. is, therefore, cause pseudo-obstruction. Secondary pseudo-obstruction typically managed treating underlying condition, however, decompression colostomy tube gastrostomy/enterostomy/caecostomy performed; this also allows for feeding irrigation alimentary tract. This case study emphasizes atypical presentation importance thorough investigations, various findings during surgery (including para-duodenal volvulus), different approaches to tract considered such patient.