KMID : 0356720020180020133
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Journal of the Korean Society of Coloproctology 2002 Volume.18 No. 2 p.133 ~ p.136
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A Case of Idiopathic Megacolon Associated with Sigmoid Volvulus
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Yeom Joo-Jin
Choi Ji-Hun Kim Ji-Woong Kim Sang-Wook Kim Tae-Hyeon Choi Suck-Chei Lee Jeong-Kyun Yun Ki-Jung Nah Yong-Ho
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Abstract
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Megacolon is an uncommon condition in which the bowel is persistently of increased diameter and it is always associated with long-standing constipation. Two main groups are recognized according to whether or not ganglia are present in the intermuscular plane of the rectal wall. Their complete absence, even along a short segment of rectum, denotes Hirschspurung¡¯s disease. If ganglia are present, the dilated bowel may be secondary to some predisposing factor such as a stricture, a congenital anorectal abnormality, a cauda equina lesion etc. In other instances, however, there may be no apparent organic reason as to why the bowel should be so dilated. This latter condition is termed ¡¯idiopathic megacolon¡¯. We report the case of one female patient with idiopathic megacolon. During medical treatment, she was complicated with a sigmoid volvulus, we performed subtotal colectomy and cecorectal anastomosis and she improved without any complication.
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KEYWORD
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Idiopathic megacolon, Sigmoid volvulus
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