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A Case of Idiopathic Megacolon with Extremely Elongated Sigmoid Colon

山口医学 Volume 48 Issue 2 Page 57-62
published_at 1999-04
B030048000203.pdf
[fulltext] 4.1 MB
Title
著明なS状結腸過長症を伴った特発性巨大結腸症の一例
A Case of Idiopathic Megacolon with Extremely Elongated Sigmoid Colon
Creators Suzuki Michinari
Creators Suzuki Nobuaki
Creators Nagashima Yukiko
Creators Takeda Shigeru
Creators Miyahara Makoto
Creators Yano Kazuma
Creators Morioka Hideshi
Creators Kanda Kikuo
Creators Okuzono Yoshiko
Source Identifiers
Creator Keywords
特発性巨大結腸症の一例 S状結腸過長症 習慣性便秘 下行結腸固定異常
We reported a case of idiopathic megacolon with extremely elongated sigmoid colon. A 30-year-old man was admitted to our hospital because of abdominal pain, abdominal fullness, and constipation. A plain abdominal x-ray showed extremely dilated colon, measuring 15cm in diameter. Gastrographin enema study showed the dilated rectum and sigmoid colon with elongated sigmoid colon. Conservative therapies were ineffective. At laparotomy, the rectum and sigmoid colon measured 90 cm in length dilated and the descending colon incompletely fixed to the retroperitoneum. Resection of the dilated rectum and sigmoid colon was performed with end-to-end anastomosis. Since histological examination revealed that the ganglion cells of the rectum were normal, the patient was diagrosed as having an idiopathic megacolon. There is no recurrence of megacolon after the operation.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1999-04
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部