Diabetic neuropathy

A 48-year-old man suffering from shock was transported by ambulance to our hospital. His medical history included hypoglycaemic encephalopathy sequelae, disuse syndrome, type 2 diabetic neuropathy, and constipation. He recovered consciousness in the ambulance, and his physical examination and laboratory findings were normal. However, X-ray and dynamic computed tomography revealed a thickened gut wall and a highly dilated sigmoid colon and rectum filled with a massive amount of stool as well as gas, compressing other intra-abdominal organs.