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Comprehensive review of procedures for total colonic aganglionosis.全结肠无神经节症手术的综合综述
J Pediatr Surg. 2009 Jan;44(1):257-65; discussion 265. doi: 10.1016/j.jpedsurg.2008.10.055.
2
Systematic review of surgical options for idiopathic megarectum and megacolon.特发性巨直肠和巨结肠手术选择的系统评价
Ann Surg. 2005 Apr;241(4):562-74. doi: 10.1097/01.sla.0000157140.69695.d3.
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Altered contractile proteins and neural innervation in idiopathic megarectum and megacolon.特发性巨直肠和巨结肠中收缩蛋白及神经支配的改变
Histopathology. 1998 Jul;33(1):34-8. doi: 10.1046/j.1365-2559.1998.00438.x.
4
Pathology of idiopathic megarectum and megacolon.特发性巨直肠和巨结肠的病理学
Gut. 1997 Aug;41(2):252-7. doi: 10.1136/gut.41.2.252.
5
Clinical features of idiopathic megarectum and idiopathic megacolon.特发性巨直肠和特发性巨结肠的临床特征。
Gut. 1997 Jul;41(1):93-9. doi: 10.1136/gut.41.1.93.
6
Enteric innervation in idiopathic megarectum and megacolon.特发性巨直肠和巨结肠的肠道神经支配。
Int J Colorectal Dis. 1996;11(6):264-71. doi: 10.1007/s003840050059.
7
Hirschsprung's disease and idiopathic megacolon in adults and adolescents.成人及青少年的先天性巨结肠症和特发性巨结肠
Gut. 1986 May;27(5):534-41. doi: 10.1136/gut.27.5.534.
8
Management of idiopathic megarectum and megacolon.
Br J Surg. 1991 Aug;78(8):899-900. doi: 10.1002/bjs.1800780803.
9
Colectomy for idiopathic megarectum and megacolon.特发性巨直肠和巨结肠的结肠切除术。
Gut. 1991 Dec;32(12):1538-40. doi: 10.1136/gut.32.12.1538.
10
Toxic idiopathic megacolon: fatal outcome in a mentally retarded adolescent.
Dis Colon Rectum. 1978 Jul-Aug;21(5):383-6. doi: 10.1007/BF02586675.

未诊断出的先天性特发性巨结肠的一种危及生命的并发症。

A life-threatening complication of undiagnosed congenital idiopathic megacolon.

作者信息

Kabeer Syed, Dvorkin Lee, Carrannante James, Linehan Ian

机构信息

Department of Surgery, Basildon & Thurrock University Hospitals NHS Foundation Trust, Basildon, UK.

出版信息

BMJ Case Rep. 2010 Aug 26;2010:bcr0420102888. doi: 10.1136/bcr.04.2010.2888.

DOI:10.1136/bcr.04.2010.2888
PMID:22767475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3029571/
Abstract

A case of undiagnosed congenital idiopathic megacolon in a 16-year-old boy who presented with toxic megacolon and cardiovascular instability with a background of longstanding constipation is presented. He underwent life-saving subtotal colectomy from which he made a full recovery.

摘要

本文报告一例16岁男孩，患有未确诊的先天性特发性巨结肠，以长期便秘为背景，出现中毒性巨结肠和心血管不稳定症状。他接受了挽救生命的次全结肠切除术，并完全康复。