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Living with Hereditary hollow viscus myopathy

A rare inherited condition in which the muscles of the gut and urinary tract don't work well.

Understanding Hereditary hollow viscus myopathy

Hereditary hollow viscus myopathy (familial visceral myopathy) is a rare inherited condition in which muscles of the digestive and urinary tracts weaken.

It causes chronic intestinal pseudo-obstruction, where the gut acts blocked even though nothing is blocking it. It usually shows up after the first decade of life. Features can include a very wide first part of the small intestine (megaduodenum) and a very large bladder (megacystis).

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Swollen belly (distention)
  • Belly pain and vomiting
  • Constipation or diarrhea
  • Trouble swallowing
  • Very large bladder (megacystis)
  • Urine backing up toward the kidneys

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ACTG2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pull-thru Network
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could genetic testing for the ACTG2 gene confirm the diagnosis?
Which specialists should manage the gut and bladder?
How can nutrition be supported if the gut doesn't move food well?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesACTG2

It is caused by changes in the ACTG2 gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticGastrointestinal

Also known as: familial hollow visceral myopathy; familial visceral myopathy; hereditary hollow visceral myopathy; megaduodenum and/or megacystis

Patient organizations

Source: NIH GARD · Hereditary hollow viscus myopathyGARD ID 3443 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary hollow viscus myopathy.

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