scholarly journals Post Necrotizing Enterocolitis Colonic Strictures: Report of 5 Cases

2018 ◽  
Vol 9 (3) ◽  
pp. 16
Author(s):  
Sandip Kumar Rahul ◽  
Vijayendra Kumar ◽  
Vinit Kumar Thakur ◽  
Ramdhani Yadav ◽  
Zaheer Hasan ◽  
...  
Keyword(s):  
Necrotizing Enterocolitis ◽  
Chronic Constipation ◽  
Ganglion Cells ◽  
Case Series ◽  
Abdominal Distension ◽  
Primary Resection ◽  
Late Sequelae ◽  
Colonic Stricture ◽  
Poor Nutritional Status ◽  
Colonic Strictures

Background: With increasing survival of patients suffering from necrotizing enterocolitis (NEC) colonic strictures, as its late sequelae, is increasingly being seen and most of these patients present with chronic constipation. Case Series: Five patients of acquired colonic stricture presenting with abdominal distension and constipation are being reported here. All five patients varied in clinical features, age at presentation and surgical manage-ment. Three of them had abdominal distension and constipation with poor nutritional status. Primary resection with anastomosis could be done in only one while stoma was made initially in other patients. One patient pre-sented with sealed perforation and fistula between jejunum and colon. All, except one patient, had stricture at splenic flexure. Histopathology of colon reported normal ganglion cells in all patients. Conclusion: All survivors of necrotizing enterocolitis, should be followed for the development of colonic stricture; It should be kept as important differential diagnoses of chronic constipation in children.

scholarly journals Colonic Strictures after Necrotizing Enterocolitis in Infants: Case Series

2011 ◽  
Vol 31 (2) ◽  
pp. 127-129
Author(s):  
Vikal Chandra Chakya ◽  
Chandra Shekhar Agrawal ◽  
Amit Bahadur Shrestha ◽  
Anju Pradhan ◽  
Prakash Poudel ◽  
...  
Keyword(s):  
Necrotizing Enterocolitis ◽  
Barium Enema ◽  
Case Series ◽  
Rare Phenomenon ◽  
Neonatal Necrotizing Enterocolitis ◽  
Colonic Strictures

The fate of neonates with necrotizing enterocolitis is variable, with colonic strictures being one rare phenomenon after the insult. We describe here two infants with colonic strictures, which developed secondary to neonatal necrotizing enterocolitis. Infants recovered or in the process of recovery after it should be investigated for possibility of development of colonic strictures. Keywords: Colonic strictures; necrotizing enterocolitis; barium enema; stoma DOI: 10.3126/jnps.v31i2.4181 J Nep Paedtr Soc 2010;31(2):127-129

Idiopathic megacolon and megarectum in an adult treated with laparoscopic modified Duhamel procedure

2021 ◽  
Vol 14 (6) ◽  
pp. e240209
Author(s):  
Maureen Elvira Padernal Villanueva ◽  
Marc Paul Jose Lopez ◽  
Mark Augustine S Onglao
Keyword(s):  
Emergency Department ◽  
Chronic Constipation ◽  
Ganglion Cells ◽  
Rectal Biopsy ◽  
Full Thickness ◽  
Postoperative Course ◽  
Idiopathic Megacolon ◽  
Duhamel Procedure ◽  
Idiopathic Megarectum ◽  
Sigmoid Loop Colostomy

Idiopathic megacolon (IMC) and idiopathic megarectum (IMR) describe an abnormality of the colon or rectum, characterised by a permanent dilatation of the bowel diameter in the absence of an identifiable cause. We present a 23-year-old woman with chronic constipation and excessive straining during defecation who presented at the emergency department in partial gut obstruction with a palpable fecaloma. Manual faecal disimpaction and a sigmoid loop colostomy was initially done. A full thickness rectal biopsy was positive for ganglion cells. Further workup led to the diagnosis of chronic IMC and IMR. The patient underwent laparoscopic modified Duhamel procedure, with an uneventful postoperative course.

scholarly journals HIRSCHSPRUNG’S DISEASE

2010 ◽  
Vol 17 (02) ◽  
pp. 223-231
Author(s):  
MUHAMMAD ZAFAR IQBAL ◽  
Hammad Azam ◽  
MUHAMMAD JAHANGIR ◽  
Muhammad Tahir ◽  
MUHAMMAD ANWAR ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Case Series ◽  
Abdominal Distension ◽  
Functional Results ◽  
International Studies ◽  
Stool Incontinence ◽  
Case Series Study ◽  
Duhamel Procedure ◽  
One Year

Introduction: Hirschsprung’s Disease is one of the most common congenital anomalies that Pediatric Surgeons manage. In spite of the various modifications of pull through procedures available, the long term functional results are less than ideal. However, Modified Duhamel Procedure is one which has relatively good functional results and that is the reason we have selected this procedure for Hirschsprung’s disease in Sheikh Zayed Hospital, Rahim Yar Khan. Objectives: To evaluate the outcome of patients after Modified Duhamel Procedure for Hirschsprung’s Disease. Design: This is case series study. Settings: Department of Pediatric Surgery Sheikh Zayed Medical College/ Hospital Rahim Yar Khan. Period: Seventeen cases were studied over a period of two year i.e. from November 2006 to December, 2008. Material and Method: Seventeen (17) cases from both sexes were operated for Hirschsprung’s Disease over a period of one year and Modified Duhamel Procedure was adopted for all these cases. All patients were diagnosed cases of rectosigmoidal aganglionosis and follow up was done over a period of one year according to a comprehensive Proforma. Four parameters like normal stool evacuation, abdominal distension, soiling and stool incontinence were followed and then the results were compared with other national and international studies. Results: Fever 19.4% (n=04), wound infection 19.4% (n=04), vomiting 9.52% (n=02), abdominal distension 4.76% (n=01), and bleeding per rectum 4.76% (n=01), were the immediate post operative complications. Fourteen patients (82.35%), used to pass stool once daily. Abdominal distension was observed occasionally in six patients (28.57%). Soiling was seen in five patients (29.41%). Out of Seventeen, stool incontinence was seen in only three patients (17.64%). Conclusion: Modified Duhamel Procedure with the help of linear cutter stapler device is quite safe, easy and less time consuming. Infact Modified Duhamel is a procedure of choice for Hirschsprung’s Disease. 

scholarly journals Dystrophic mineralisation in chronic exogenous lipid pneumonia in cats

2019 ◽  
Vol 5 (1) ◽  
pp. 205511691985025
Author(s):  
Claudia Mallol ◽  
Yvonne Espada ◽  
Albert Lloret ◽  
Raúl Altuzarra ◽  
Carlo Anselmi ◽  
...  
Keyword(s):  
Chronic Constipation ◽  
Case Series ◽  
Clinical History ◽  
Lung Parenchyma ◽  
Mineral Oil ◽  
Radiographic Findings ◽  
Dependent Part ◽  
Exogenous Lipid ◽  
Lipid Pneumonia ◽  
Lung Lobes

Case series summary Exogenous lipid pneumonia with mineralisation of the lung parenchyma was diagnosed in three cats with radiographs, CT and/or bronchoalveolar lavage cytological findings. All three cats had a common clinical history of chronic constipation and long-term forced oral administration of mineral oil. All three cases showed radiographic findings compatible with aspiration pneumonia, with an alveolar pattern in the ventral part of the middle and/or cranial lung lobes. Minor improvement of the radiographic lung pattern in the follow-up studies was seen in two cats, and a miliary ‘sponge-like’ mineralised pattern appeared in the previously affected lung lobes months to years after the diagnosis. In one cat, patchy fat-attenuating areas in the consolidated lung lobes were present on thoracic CT. Cases 1 and 2 showed respiratory signs at the initial presentation, while in case 3 the radiographic findings were incidental and the cat had never exhibited respiratory signs. Relevance and novel information This is the first report to describe dystrophic mineralisation of the lung in exogenous lipid pneumonia and also the first to describe the CT features in cats. Exogenous lipid pneumonia should be included in the differential diagnosis in cases of miliary ‘sponge-like’ mineral opacities in the dependent part of the lung lobes on thoracic radiographs or CT in cats, especially in cases of chronic constipation, previously exposed to mineral oil.

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

2017 ◽  
Vol 30 (5) ◽  
pp. e13270 ◽  
Author(s):  
D. Strijbos ◽  
D. Keszthelyi ◽  
A. A. M. Masclee ◽  
L. P. L. Gilissen
Keyword(s):  
Chronic Constipation ◽  
Case Series ◽  
Retrospective Case ◽  
Retrospective Case Series
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