Related Experiment Video
Updated: Sep 21, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.6K
Idiopathic megabowel causing acute bowel obstruction: A case report.
Hazem Beji1,2, Fatma Najib1,2, Asma Zaiem1,2
1Department of General Surgery A, Hospital La Rabta, Tunis, Tunisia.
Annals of Medicine and Surgery (2012)
|May 31, 2022
Summary
Idiopathic megacolon, a rare condition causing bowel obstruction, was successfully treated with proctocolectomy in a patient with severe constipation. This surgical intervention improved the patient's quality of life.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Idiopathic megacolon is a rare gastrointestinal condition with an unclear pathogenesis.
- It can lead to severe complications such as acute bowel obstruction.
Observation:
- A 65-year-old male with chronic constipation presented with acute bowel obstruction.
- CT scans revealed significant rectal and sigmoid colon dilation filled with feces.
- Initial conservative management failed, necessitating emergency laparotomy.
Findings:
- Histopathology confirmed degenerative smooth muscle lesions, diagnosing rectosigmoid idiopathic megacolon.
- Proctectomy with colo-anal anastomosis was performed following initial Hartmann procedure.
- The patient experienced an uneventful recovery post-surgery.
Implications:
- Surgical intervention, such as proctocolectomy, is crucial for managing idiopathic megacolon.
- Effective treatment can prevent severe complications and enhance patient quality of life.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
227
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
227
01:22Appendicitis-I: Introduction
669
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
669
01:30Inflammatory Bowel Disease II: Crohn's Disease
409
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
409
01:17Chronic Bowel Disorders: Introduction
547
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
547
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
351
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
351
01:25Assessment of the Rectum and Anus
439
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
439