Mullen Nathan D, Thurn Hunter, Karr Eric, Burtson Kathryn M
Internal Medicine, Wright-Patterson Medical Center/Wright State University, Dayton, USA.
Cureus. 2022 Jan 25;14(1):e21580. doi: 10.7759/cureus.21580. eCollection 2022 Jan.
A 92-year-old male presented from an outside hospital for treatment of a chronic obstructive pulmonary disease exacerbation (COPD) and subsequently developed worsening abdominal distention with pain during the course of his hospitalization. He was found to have a high-grade large-bowel obstruction with a dilated colon of 20 cm measuring upward. The patient ultimately underwent a hemicolectomy to prevent bowel ischemia and reformation of another volvulus. We present this case to elucidate the need for vigilant monitoring in patients with chronic bowel obstruction due to lack of typical symptoms, to demonstrate a successful management approach, and to exhibit an extreme example of the resulting megacolon.
一名92岁男性因慢性阻塞性肺疾病急性加重从外院转入我院治疗，住院期间出现腹胀加重伴疼痛。检查发现他患有高位大肠梗阻，结肠扩张达20厘米，向上延伸。患者最终接受了半结肠切除术，以防止肠缺血和再次发生肠扭转。我们展示这个病例是为了阐明，由于缺乏典型症状，对于慢性肠梗阻患者需要进行密切监测，展示一种成功的治疗方法，并呈现由此导致巨结肠的一个极端案例。
