Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .
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Recurrrrence of chagasic megacolon after surgical treatment: Rev Esp Enferm Dig ; This factor contributed to the delay in her diagnosis, driving the pediatrician out of a HD hypothesis.
Introduction Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment. Discussion Megacolon is an abnormal dilation of the colon that can be caused by several factors: Discussion HD is a congenital anomaly that occurs due to a discontinuation of the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy.
Gynecological pathology was ruled out and was done Rx abdomen showing abundant fecal material. Chagas disease in the differential diagnosis of megacolon. HD occurs in approximately 1 in live births. Therefore, the most liquid stools upstream pass around the fecal impaction and produce the reported symptom, known as fecal incontinence soiling. Dis Colon Rectum ; Rectosigmoidectomy with Ileal Loop Interposition.
Enfermedad de Hirschsprung | Osceola Surgical Associates
This surgery is considered curative. A new surgical method for the treatment of chagasic megacolon. Complaints of fecal incontinence are often reported in the literature in cases of functional constipation and of idiopathic megacolon. On examination, she presented lower abdominal discomfort with feeling lower abdominal mass. Typically, patients go to the doctor with a long-standing history of constipation requiring frequent laxative use.
The absence of ganglion cells results in permanent contraction of the affected segment, preventing the passage of fecal content through that region.
The diagnosis depends on the stage of the disease and treatment is applicable only in the acute phase. Dis Colon Rectum ;46 11 Subsequently, new variations have been postulated as the rectosigmoidectomy with ileal interposition, with good results and decreased recurrence 9, Our patient had diagnositco history of long-standing bowel constipation, progressing to fecal incontinence.
Because of the morbidity involving the preservation of the affected colon segment, is reflected in the literature a tendency to prefer resection techniques for the derivative. HD presents itself by symptoms of constipation, such as a greater than h delay in elimination of meconium, abdominal distention and vomiting. encermedad
Currently the two most accepted are the Duhamel-Haddad technique 6,7diqgnostico takes place two times and has the disadvantage of carrying a temporary perineal colostomy. The infrequency of this diagnosis in this girschsprung and the clinical course of this patient underscore the uniqueness of this case.
With diagnostic methods already established in the literature, the sole treatment is surgery. Am J Surg Pathol ;31; The patient underwent conservative treatment with good evolution and was discharged without surgical intervention. J Pediatr Rio de J.
ENFERMEDAD de HIRSCHSPRUNG (DIAGNOSTICO) |authorSTREAM
The girl was discharged on the 5th day after surgery. Am J Gastroenterol ; Enterocolitis, constipation and fecal incontinence represent the main postoperative complications in children.
Chagas disease CHD is endemic in the Americas but due to increased immigration is becoming increasingly common in our country. It is caused by Trypanosoma cruzi 1 that is transmitted by blood-sucking insects, blood transfusions or fetal transmission 1,2.
Surgical treatment of Chagasic Megacolon: Most patients with CHD have some type of heart disease, so they tend to be high risk for surgery 6. Enfermedad de Hirschsprung en el adulto.
A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due to patient’s lack of cooperation. In this latter case, HD may affect the entire colon and even the small intestine.
The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8. Surgical treatment of Chagas megacolon. Hirschsprung’s disease; Congenital megacolon; Fecal incontinence. Hirschsprung disease and hypoganglionosis in adults: Niger J Clin Pract.
In addition, the reported symptoms caused the girl’s parents to begin to justify such a fact enfemedad a result of some psychological, rather than organic, disorder. For our patient, fecal incontinence is a more limiting symptom than the constipation itself, because the girl was living in constant fear of occurrence of such fact in environments like her school, which would cause great embarrassment before other people.
Enfermedad de Hirschsprung
Therefore, fecal incontinence can cause emotional disturbances to patients, diagnosfico subsequent relationship problems at school and with their own families. The blood test with tumor markers was normal and an abdominal CT objectived fecal and recto-sigmoid colon dilation Fig.
Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment.