Giant megacolon caused by anterior displacement of the anus in a 71-year-old woman
Abstract
The patient was a 71-year-old woman who was referred to the general surgery clinic due to a severe colonic dilatation and a fecal mass that was found in her abdominopelvic CT scan, which was ordered by a nephrologist for approaching her right flank pain. The patient had experienced bloating and progressive abdominal distension in the year prior to the current visit. The last defecation had occurred approximately 20 days prior to the visit, and the last gas passage had occurred the day before the visit.
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8. Sinha SK, Kanojia RP, Wakhlu A, Rawat J, Kureel S, Tandon R. Delayed presentation of anorectal malformations. J Indian Assoc Pediatr Surg. 2008;13(2):64-8.
9. Rajagopal A, Martin J. Giant fecaloma with idiopathic sigmoid megacolon. Dis Colon Rectum. 2002;45(6):833-5.
2. Wojda TR, Yanagawa F, Wallner A, Terzian WH, Smith EA, Stawicki SP, et al. Giant megacolon: An unusual surgical emergency. Int J Acad Med. 2017;3(1):194-6.
3. Khawaja MR, Akhavan N, Chiorean M. Chronic constipation with megacolon. J Gen Intern Med. 2011;26(8):938.
4. Herek Ö, Polat A. Incidence of anterior displacement of the anus and its relationship to constipation in children. Surg Today. 2004;34(2):190-2.
5. Nachulewicz P, Woźniak MM, Brodzisz A (2021) Congenital Abnormalities of the Pelvic Floor: Assessment and Management. In: Santoro GA, Wieczorek AP, Sultan AH (eds) Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-40862-6_89.
6. Samuk I, Amerstorfer EE, Fanjul M, Iacobelli BD, Lisi G, Midrio P, et al. Perineal groove: an anorectal malformation network, consortium study. J Pediatr. 2020;222:207-12.
7. Lindley RM, Shawis RN, Roberts JP. Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications. Acta Paediatr. 2006;95(3):364-8.
8. Sinha SK, Kanojia RP, Wakhlu A, Rawat J, Kureel S, Tandon R. Delayed presentation of anorectal malformations. J Indian Assoc Pediatr Surg. 2008;13(2):64-8.
9. Rajagopal A, Martin J. Giant fecaloma with idiopathic sigmoid megacolon. Dis Colon Rectum. 2002;45(6):833-5.
| Files | ||
| Issue | Vol 6 No 3 (2022): Summer (July) | |
| Section | Case based learning points | |
| DOI | 10.18502/fem.v6i3.9405 | |
| Keywords | ||
| Giant Megacolon | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Farhangian M, Ahmadi-Amoli H, Rahimpour E. Giant megacolon caused by anterior displacement of the anus in a 71-year-old woman. Front Emerg Med. 2022;6(3):e43.
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