Caiazzo Paolo, De Martino Ciro, Del Vecchio Giovanni, Di Lascio Pierpaolo, Marasco Massimiliano, Laviani Fabia, Tramutoli Pio Rocco
Ann Ital Chir. 2013 May-Jun;84(3):319-22.
We herein report a case of megacolon with fecaloma in an 83-year-old man who presented with constipation, no intestinal occlusion, and a left hydroureteronephrosis, with A.S.A. 4. The patient asymptomatic, was treated Primariely with laxatives. During the conservative therapy the patient presented an abrupt abdominal distension with a bowel obstruction and abdominal compartment syndrome. After the laparotopy and a Hartmann left colon resection the patient died for cardiovascular and metabolic complications. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.
我们在此报告一例83岁男性巨结肠合并粪块瘤的病例，该患者表现为便秘，无肠梗阻，伴有左侧输尿管肾盂积水，美国麻醉医师协会（ASA）分级为4级。患者无症状，主要接受泻药治疗。在保守治疗期间，患者突然出现腹胀、肠梗阻和腹腔间隔室综合征。在剖腹手术及Hartmann左半结肠切除术后，患者因心血管和代谢并发症死亡。本报告的目的是对该疾病进行简要综述，并讨论这些病例的治疗选择。
