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Appendicitis mimicry of dolichocolon
Kayla K Brown1, Mercedes C Jolley1, Dean A Kocay2
1Graduate Medical Education, General Surgery Residency Program, St. David's South Austin Medical Center, Austin, TX 78704, United States.
Journal of Surgical Case Reports
|October 19, 2023
Summary
Dolichocolon, an elongated colon anatomical variant, is an underdiagnosed cause of chronic constipation. Early diagnosis and surgical intervention, like subtotal colectomy, can significantly improve patient quality of life.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Dolichocolon, an anatomical variant characterized by an excessively long colon, is frequently overlooked as a primary diagnosis for chronic constipation.
- Undiagnosed dolichocolon can lead to severe, lifelong consequences impacting a patient's quality of life and overall health.
Observation:
- A case report detailing a young adult female initially presenting with symptoms suggestive of appendicitis.
- The patient's condition was ultimately diagnosed as undiagnosed dolichocolon, necessitating a subtotal colectomy for definitive treatment of chronic constipation.
Findings:
- Dolichocolon is a significant, yet under-reported, etiology of chronic constipation.
- Early diagnosis is crucial to prevent misdiagnosis and associated complications.
Implications:
- Raising awareness within the surgical community about the importance of early dolichocolon diagnosis.
- Improving patient outcomes by preventing misdiagnosis and reducing complications related to chronic constipation.
- Highlighting surgical colectomy as a definitive treatment for severe, refractory chronic constipation due to dolichocolon.
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