A Case of Gastrointestinal Perforation in Guillain-Barré Syndrome

A 35-year-old man diagnosed with severe Guillain-Barr syndrome (GBS), accompanied by GalNAc-GD1a IgM antibodies, was admitted to our hospital.On the day of admisson, plasma exchange therapy was initiated.That night, he developed abdominal distention, and CT demonstrated paralytic ileus (Picture 1AB, 2AB).A gastric tube was inserted for decompression.On the 7th day after admission, he developed fever and abdominal pain.Repeat CT demonstrated free air within the abdominal cavity (Picture 3AB), suggesting gastrointestinal perforation.Therefore, emergency laparotomy was performed, and gastrointestinal perforation was confirmed.After that, his symptoms gradually improved,