Authors
Semionkin E.I.1, Krotkov A.R.2, Yudina E.A.2, Lukanin R.V.2, Ogoreltsev A.Yu.1
1 Ryzan State Medical University,Ryazan
2 Ryazan StateClinical Hospital, Ryazan
Abstract
The purpose of the study is to show the possibility of successful surgery using anexample of a clinical case of megadolichocolon in an adult,complicated by acute intestinal obstruction.
Patients and methods.The results of emergency surgical treatment of a megadolichocolon in a 43 – year-old man were reviewed.
Results. An ileostomy did not relieve intestinal obstruction with megadolichocolon. It is necessary to perform a radical colectomy.
Conclusion. Colectomy is an effective method of treating megadolichocolon complicated acute intestinal obstruction in adults.
Keywords: dolichomegacolon, acute intestinal obstruction, colectomy.
References
1. Enciklopedicheskii slovar medicinskih terminov. B.V.Petrovskiy, editor. M.: Sovetskaya enciklopediya, 1982. 464 р. (In Russ.)
2. Achkasov SI. Anomalii razvitiya i polojeniya tolstoi kishki. Klinika, diagnostika, lechenie. [dissertation] M. 2003. 294 p. (In Russ.)
3. Corman ML. Colon and Rectal Surgery. Philadelphia: Lippincott, 1984. P.129-134.
4. The Large Intestine: Physiology, Pathophysiology, and Disease. Edited by S.F. Phillips, J.H. Pemberton, P.G. Shorter. New York, Mayo Foundation, 1991. P.10.
5. Brummer, Seppala P, Wegelius U. Redundant colon as a cause of constipation. Gut. 1962; 3: 140–141.
6. Schagen van Leeuwen J.H. Sigmoid Volvulus in a West African Population. Dis Colon Rectum. 1985; 28(10): 712-716.
7. Vorobev G.I. Megakolon u vzroslih (klinika, diagnostika i hirurgicheskoe lechenie. [dissertation] Moskva. 1982. 402 р. (In Russ.)
8. Ergashev N, Nazarov N. Diagnosis and Treatment of Congenital Megalodolichocolon. Medical and Health Science Journal. 2011; 9: 83-8.
9. Klinicheskie rekomendacii. Idiopaticheskii megakolon 2024-2025-2026 (02.08.2024 – utverjdeni Minzdravom RF). (In Russ.)
10. Klinicheskie rekomendacii po diagnostike i lecheniyu vzroslih bolnih s doli_hokolonom. 03-05 oktyabrya 2024 g. Vserossiiskaya nauchno_prakticheskaya konferenciya s mej_dunarodnim uchastiem uchastiem «Sezd koloproktologov Rossii». Utverjdeni MZRF. 19 s. (In Russ.)
