特发性巨结肠合并危及生命的巨大巨结肠及因膈膨升导致的呼吸衰竭：一例报告。

Idiopathic megacolon complicated by life-threatening giant megacolon and respiratory failure due to diaphragmatic eventration: A case report.

作者信息

Fujiwara Masataka, Sadatomo Ai, Tsubochi Hiroyoshi, Horie Hisanaga, Lefor Alan Kawarai, Sata Naohiro

机构信息

Department of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, 3311 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.

出版信息

Int J Surg Case Rep. 2022 Jul;96:107372. doi: 10.1016/j.ijscr.2022.107372. Epub 2022 Jun 30.

DOI:10.1016/j.ijscr.2022.107372

PMID:35809478

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9284071/

Abstract

INTRODUCTION AND IMPORTANCE

Giant megacolon requiring emergency surgery is rare. Eventration of the diaphragm associated with giant megacolon is also uncommon.

CASE PRESENTATION

We report a 66-year-old male who presented with abdominal distention and progressive dyspnea. After resuscitation following cardiopulmonary arrest, the patient underwent emergent subtotal abdominal colectomy. Eventration of the diaphragm was found postoperatively and his respiratory condition was insufficient to allow liberation. Plication of both diaphragms was performed through left and right thoracotomy via the 8th intercostal space. Postoperatively the patient made a full recovery.

CLINICAL DISCUSSIONS

Chronic constipation is a common health condition. A life-threatening condition secondary to chronic constipation is a rarely documented complication. Diaphragmatic eventration that was caused due to chronic megacolon in symptomatic patients requires surgical treatment.

CONCLUSIONS

We describe a patient with giant megacolon and diaphragmatic eventration secondary to idiopathic megacolon. The patient underwent subtotal colectomy and diaphragmatic plication and recovered fully.

摘要