Watahiki Yu, Suzuki Tomohiro, Koya Yudai, Matsuoka Naoki, Matsuhashi Nobuo, Ichii Osamu, Tai Mayumi, Ejiri Yutaka, Ohira Hiromasa
Department of Gastroenterology, Fukushima Rosai Hospital.
Department of Gastroenterology, Fukushima Medical University School of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 2020;117(3):237-244. doi: 10.11405/nisshoshi.117.237.
A 77-year-old woman was referred for severe constipation and abdominal distension which had lasted for 1 month. A computed tomography (CT) scan and a colonoscopy revealed segmental stricture in the transverse and descending colons. After no improvement in her symptoms was observed with conservative therapy, we performed a left hemicolectomy. Histopathological examination revealed a reduction in ganglion cells in the Meissner's and Auerbach's plexuses and hypoganglionosis was diagnosed. In addition, a diagnosis of acquired hypoganglionosis was made because this case was adult onset, and there has been no recurrence.
