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Segmental dilatation of the colon, another cause of chronic constipation

A Etzioni, A Benderly, J A Bar-Maor

    Diseases of the Colon and Rectum
    |November 1, 1980
    PubMed

    Insights

    Segmental dilatation of the colon is a rare cause of severe constipation in children and must be considered in diagnosis. This case report discusses the differential diagnosis and treatment of this condition.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Medical Diagnostics

    Background:

    • Segmental dilatation of the colon (SDC) is a rare congenital anomaly.
    • It presents with severe constipation, necessitating its inclusion in the differential diagnosis of constipated children.
    • Early recognition is crucial for appropriate management and to prevent complications.

    Observation:

    • A case of SDC involving the rectosigmoid region is presented.
    • The clinical presentation included severe, intractable constipation.
    • Diagnostic workup confirmed the segmental nature of the colonic dilatation.

    Findings:

    • The rectosigmoid area demonstrated significant dilatation.
    • Differential diagnosis considered other causes of pediatric constipation, such as Hirschsprung disease.
    • The findings underscore the importance of considering SDC in the diagnostic pathway.

    Implications:

    • Accurate diagnosis of SDC is essential for effective treatment.
    • Management strategies for SDC, including surgical options, are discussed.
    • Raising awareness of SDC can improve patient outcomes in pediatric constipation cases.

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