Abstract:
:Dilatation of the colon and the rectum, which is not attributable to aganglionosis, is a rare finding and can be the result of intractable chronic constipation. We report a rare case of a 29-year-old male patient with impressive megacolon, in whom Hirschsprung's or Chagas disease was ruled out. In the present case, dilatation of the colon was most likely due to a behavioral disorder with habitual failure of defecation. Chronic stool retention led to a bizarre bulging of the large bowel with displacement of the other abdominal organs and severe occult blood loss. Because of two episodes of life-threatening gastrointestinal bleeding despite conventional treatment of constipation, a surgical approach for bowel restoration was necessary. Temporary loop ileostomy had to be performed for de-pressurization of the large bowel and the subsequent possibility for effective antegrade colonic lavage to remove impacted stools. Shortly after the operation, the patient was healthy and could easily manage the handling of the ileostomy. However, the course of the megacolon in this young adult cannot be predicted and the follow-up will have to reveal if regression of this extreme colonic distension with reestablishment of regular rectal perception will occur.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Mecklenburg I,Leibig M,Weber C,Schmidbauer S,Folwaczny Cdoi
10.3748/wjg.v11.i48.7686keywords:
subject
Has Abstractpub_date
2005-12-28 00:00:00pages
7686-7issue
48eissn
1007-9327issn
2219-2840journal_volume
11pub_type
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