Premium
Laparoscopic subtotal colectomy for a patient with chronic idiopathic colonic pseudo‐obstruction: Report of a case
Author(s) -
Ozawa Tsuyoshi,
Ishihara Soichiro,
Okada Yuka,
Ohno Kohei,
Yagi Takahiro,
Fukushima Yoshihisa,
Shimada Ryu,
Hayama Tamuro,
Tsuchiya Takeshi,
Nozawa Keijiro,
Matsuda Keiji,
Matsuoka Ryosuke,
Mori Ichiro,
Fukuzawa Ryuji,
Takiyama Aki,
Takao Yoshihiko,
Shimizu Nobuyuki,
Kikuchi Kiyoshi,
Hashiguchi Yojiro
Publication year - 2019
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12682
Subject(s) - medicine , constipation , cecum , surgery , transverse colon , abdominal pain , chronic constipation , bowel obstruction , bloating , colectomy , ascending colon , defecation , colorectal cancer , cancer
A 47‐year‐old male patient without a documented past medical history was referred to Sanno Hospital because of constipation and abdominal pain, which he had had for more than 5 years. Abdominal X‐ray and CT scan showed an enlarged ascending colon from the cecum to the transverse colon, without apparent mechanical obstruction. The patient was diagnosed with chronic idiopathic colonic pseudo‐obstruction, and because his symptoms were resistant to medication, surgical treatment was required. Laparoscopic subtotal colectomy was performed without any complications. Constipation was relieved, and the patient began defecating 2–3 times a day without medication. Pathological specimens showed that Meissner's plexus and Auerbach's plexus had decreased and that there were fewer ganglion cells—findings consistent with chronic idiopathic intestinal pseudo‐obstruction.