megacolon/vomiting

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Difficulties in the diagnostics and treatment of near-total congenital megacolon.

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Near total colonic aganglionosis is one of the rarest forms of Hirschsprung's disease and until recent years it has been considered deadly. Establishing a correct diagnosis has proven to be challenging, because while the clinical and radiological features can be useful, they are not pathognomonic.

[Toxic megacolon presenting as Crohn's disease].

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We introduce a young patient, without history of inflammatory bowel disease (I.B.D.) who started with an acute gastroenteritis, which in the following days progressed to a toxic megacolon. The patient had come to hospital with nausea, vomiting, fever and liquid, explosive diarrhoea without

[Two elderly cases of megacolon associated with cerebral infarction and diabetes mellitus].

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The authors experienced two elderly patients of megacolon associated with cerebral infarction and diabetes mellitus. The first patient was a 66-year-old female who was admitted to our hospital for rehabilitation with a complaint of knee pain. She had suffered from diabetes mellitus since she was 30

Abdominal compartment syndrome in a patient with congenital megacolon.

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A 13-year-old male with a history of chronic congenital megacolon presented to the emergency department with a 1-day history of increasing abdominal pain, distension, and emesis. The patient was admitted for bowel disimpaction and irrigation. The patient rapidly developed an acute abdominal

Idiopathic megacolon presenting with fatal inferior vena caval obstruction and colonic perforation. Case report.

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A 73-year-old woman with chronic constipation and associated megarectum and megacolon presented as an emergency with colonic perforation, inferior vena caval obstruction and urinary retention. Soon after admission the patient sustained a massive feculent vomit and died. Intractable constipation

Urgent colectomy in a patient with membranous tracheal disruption after severe vomiting.

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CONCLUSIONS We report a case of a patient who developed membranous tracheal disruption after severe vomiting. He subsequently required urgent colectomy for toxic megacolon under general anesthesia. With this challenging situation, we were able to successfully conduct general anesthesia in the

Congenital aganglionic megacolon in Nigerian adults: two case reports and review of the literature.

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Congenital aganglionic mega colon (Hirschsprung's disease) is a motor disorder in the gut, due to a defect in the craniocaudal migration of the neuroblast originating from the neural crest that occurs during the first twelve weeks of gestation, causing a functional intestinal obstruction, with its

Intestinal atony in progressive systemic sclerosis (Scleroderma).

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A 27-year-old woman with a long history of scleroderma developed megacolon and severe fecal vomiting as a result of intestinal atony. Evacuation of fecal impaction with water-soluble contrast enema resulted in prompt relief of fecal vomiting and gradual return of bowel function.

Chronic constipation - the role of clinical assessment and colorectal physiologic tests to obtain an etiologic diagnosis.

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BACKGROUND Diagnosis of subtypes of chronic constipation has been considered difficult to achieve even in specialized centers. Although colorectal physiologic tests have brought an important contribution, it remains unclear in which patients these tests should be indicated for. OBJECTIVE This study

[Intestinal pseudoobstructions and gastric necrosis in mitochondrial myopathy].

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METHODS A 24-year-old female patient suffered for 4 months from recurrent abdominal pain, vomiting and diarrhea. Signs of an acute abdomen were the initial reason for admitting the patient to our hospital. The slim, pale patient had a complete bloated abdomen. Neurological status was

Frequency and Variables Associated with Fasting Orders in Inpatients with Ulcerative Colitis: The Audit of Diet Orders-Ulcerative Colitis (ADORE-UC) Study.

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Current clinical practice guidelines suggest that patients with ulcerative colitis (UC) hospitalized because of a disease flare should be offered a normal diet, unless such a diet is not tolerated. Studies of hospitalized patients have demonstrated iatrogenic malnutrition from unjustified or

Waardenburg-Shah syndrome (WS type IV): a rare case from Pakistan.

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Waardenburg-Shah syndrome is a rare autosomal recessive [AR] inherited disorder characterized by the presence of Hirschsprung's disease with a high likelihood of aganglionic megacolon, due to which the mortality is high. The management of the condition involves surgical intervention for the removal

Fatal intestinal obstruction in the mentally handicapped.

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In a retrospective study of hospital records over a 50-year period, data on 32 patients who died as a result of intestinal obstruction are presented and compared with comparison groups and national mortality statistics. There was a higher incidence and lower mean age at death of fatal intestinal

Hirschprung's disease in different settings - a series of three cases from a tertiary referral center.

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Failure of neural crest cells to migrate from neural crests during intrauterine development result in partial or total aganglionosis of the colon in newborn. Hirschprung's disease (HD) represents the clinical manifestation of this pathogenic process, currently accounting for the majority of lower

Gastrointestinal obstruction.

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For cats that present with signs of gastrointestinal disease, obstruction is a primary differential. There are numerous reasons of gastrointestinal obstruction in small animals, yet there are several specific causes that are more commonly associated with the cat. These include linear foreign bodies,

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