Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation
A 55-year-old male patient received an anoplasty at infancy for low-type anorectal malformation, and intractable constipation was observed since. The patient presented with colitis at the emergency department. Computed tomography revealed feces with a megarectosigmoid of diameter 18 cm. Hirschsprung...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2017-01-01
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| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=40;epage=43;aulast=Hsu |
| _version_ | 1797706122580197376 |
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| author | Yao-Jen Hsu Yu-Wei Fu Chin-Hung Wei Min-Jen Chen |
| author_facet | Yao-Jen Hsu Yu-Wei Fu Chin-Hung Wei Min-Jen Chen |
| author_sort | Yao-Jen Hsu |
| collection | DOAJ |
| description | A 55-year-old male patient received an anoplasty at infancy for low-type anorectal malformation, and intractable constipation was observed since. The patient presented with colitis at the emergency department. Computed tomography revealed feces with a megarectosigmoid of diameter 18 cm. Hirschsprung disease was suspected on the basis of the imaging findings. Therefore, a rectal biopsy was performed, which indicated the presence of normal ganglion cells. Bowel management was implemented with one large-volume enema to empty the huge rectal pouch daily. The patient was free of constipation and had an improved nutritional status with appropriate weight gain in 3 months. A laparoscopic Swenson pull-through was performed. The hospital course was uneventful. Enemas, loperamide, and water-soluble fibers were required for frequent soiling because of postoperative hypermotile colon. The treatments were weaned off gradually. At the latest follow-up (2 years postoperatively), the patient had regular voluntary bowel movements with complete bowel control. |
| first_indexed | 2024-03-12T05:47:38Z |
| format | Article |
| id | doaj.art-7f4a684a3c3a427bb81c96ee9ef45948 |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:47:38Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-7f4a684a3c3a427bb81c96ee9ef459482023-09-03T05:32:25ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2017-01-01501404310.4103/fjs.fjs_4_17Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformationYao-Jen HsuYu-Wei FuChin-Hung WeiMin-Jen ChenA 55-year-old male patient received an anoplasty at infancy for low-type anorectal malformation, and intractable constipation was observed since. The patient presented with colitis at the emergency department. Computed tomography revealed feces with a megarectosigmoid of diameter 18 cm. Hirschsprung disease was suspected on the basis of the imaging findings. Therefore, a rectal biopsy was performed, which indicated the presence of normal ganglion cells. Bowel management was implemented with one large-volume enema to empty the huge rectal pouch daily. The patient was free of constipation and had an improved nutritional status with appropriate weight gain in 3 months. A laparoscopic Swenson pull-through was performed. The hospital course was uneventful. Enemas, loperamide, and water-soluble fibers were required for frequent soiling because of postoperative hypermotile colon. The treatments were weaned off gradually. At the latest follow-up (2 years postoperatively), the patient had regular voluntary bowel movements with complete bowel control.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=40;epage=43;aulast=HsuAnorectal malformationsbowel managementconstipationmegarectosigmoidlaparoscopySwenson pull-through |
| spellingShingle | Yao-Jen Hsu Yu-Wei Fu Chin-Hung Wei Min-Jen Chen Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation Formosan Journal of Surgery Anorectal malformations bowel management constipation megarectosigmoid laparoscopy Swenson pull-through |
| title | Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation |
| title_full | Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation |
| title_fullStr | Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation |
| title_full_unstemmed | Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation |
| title_short | Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation |
| title_sort | intractable constipation in an adult with megarectosigmoid following repair of low type anorectal malformation |
| topic | Anorectal malformations bowel management constipation megarectosigmoid laparoscopy Swenson pull-through |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=40;epage=43;aulast=Hsu |
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