PARALYTIC ILEUS SIMULATING ACUTE INTESTINAL OBSTRUCTION DUE TO PENTOLINIUM TARTRATE (ANSOLYSEN)

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Abstract
A fatal case of intoxication with a ganglion blocking agent illustrated the difficulty that may arise in differentiation from an acute surgical intestinal obstruction. Symptoms and findings differed from the usual paralytic ileus by the presence of persistent abdominal pain, continually audible peristalsis, and gaseous distention primarily involving the small intestine. The authors stress the necessity of considering this diagnosis in patients taking ganglion blocking agents who present with an "acute abdomen".