Tehran University of Medical Sciences
Frontiers in Emergency Medicine
2717-3593
6
3
2022
02
12
Giant megacolon caused by anterior displacement of the anus in a 71-year-old woman
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Mehdi
Farhangian
Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Hadi
Ahmadi-Amoli
Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Ehsan
Rahimpour
Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
2022
02
07
2022
02
12
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.
https://fem.tums.ac.ir/index.php/fem/article/view/956
https://fem.tums.ac.ir/index.php/fem/article/download/956/390
per is a 57-year-old man who was found unconscious in a hotel and presented with complaints of vomiting, abdominal pain, and diarrhea. He had severe dyspnea and chest pain radiating to his back. He had ST-segment elevation in anterior leads on electrocardiogram (ECG), with non-obstructive coronary artery disease in the subsequent heart catheterization. MI patients should be treated with primary percutaneous coronary intervention (PCI) or fibrinolytic agents, but pseudoinfarction due to DKA responds to medical treatment. Thus, it is also important to know that coexistence of both DKA and MI is possible, and neglecting such situations can lead to lethal consequences.
https://fem.tums.ac.ir/index.php/fem/article/view/763
https://fem.tums.ac.ir/index.php/fem/article/download/763/367
cle/download/958/395