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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
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[A man with chronic abdominal pain and obstipation]
A J Jan van Overbeeke1, Gijs D Algie
1MC Zuiderzee Ziekenhuis, Lelystad, afd. Chirurgie, the Netherlands. janvanoverbeeke@hotmail.com
Nederlands Tijdschrift Voor Geneeskunde
|October 28, 2010
Summary
A giant sigmoid diverticulum caused chronic abdominal pain and obstipation in a 66-year-old man. Surgical exploration identified this large colonic diverticulum as the source of his severe symptoms.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Chronic abdominal pain and obstipation are common presenting symptoms in surgical practice.
- Sigmoid diverticulosis is a prevalent condition, particularly in older adults.
Observation:
- A 66-year-old male patient presented with persistent abdominal discomfort and severe constipation.
- Physical examination and initial investigations suggested a significant intra-abdominal pathology.
Findings:
- Exploratory laparotomy revealed a giant diverticulum originating from the sigmoid colon.
- The large size of the diverticulum was compressing adjacent structures, leading to obstruction.
Implications:
- Giant colonic diverticula represent a rare but significant cause of abdominal pain and obstruction.
- Surgical intervention, such as diverticulectomy, may be necessary for symptomatic relief and to prevent complications.
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