Idiopathic megacolon and megarectum in an adult treated with laparoscopic modified Duhamel procedure
| Autor: | Maureen Elvira Padernal Villanueva, Marc Paul Jose Lopez, Mark Augustine S Onglao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Biopsy Rectum Case Report Megacolon 030204 cardiovascular system & hematology Idiopathic megacolon 03 medical and health sciences Young Adult 0302 clinical medicine Duhamel procedure 030225 pediatrics medicine Humans Hirschsprung Disease Chronic constipation business.industry Megarectum General Medicine Emergency department medicine.disease Surgery Ganglion medicine.anatomical_structure Defecation Female Laparoscopy business Constipation |
| Zdroj: | BMJ Case Rep |
| Popis: | Idiopathic megacolon (IMC) and idiopathic megarectum (IMR) describe an abnormality of the colon or rectum, characterised by a permanent dilatation of the bowel diameter in the absence of an identifiable cause. We present a 23-year-old woman with chronic constipation and excessive straining during defecation who presented at the emergency department in partial gut obstruction with a palpable fecaloma. Manual faecal disimpaction and a sigmoid loop colostomy was initially done. A full thickness rectal biopsy was positive for ganglion cells. Further workup led to the diagnosis of chronic IMC and IMR. The patient underwent laparoscopic modified Duhamel procedure, with an uneventful postoperative course. |
| Databáze: | OpenAIRE |
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