Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .
|Country:||Trinidad & Tobago|
|Published (Last):||16 June 2006|
|PDF File Size:||19.8 Mb|
|ePub File Size:||13.98 Mb|
|Price:||Free* [*Free Regsitration Required]|
This factor contributed to the delay in her diagnosis, driving the pediatrician out of a HD hypothesis. Hirschspung, new variations have been postulated as the rectosigmoidectomy with ileal interposition, with good results and decreased recurrence 9, On examination, she presented lower abdominal discomfort with feeling lower abdominal mass.
Long term follow-up of abdominal rectosigmoidectomy with posterior end-to-side stapled anastomosis for chagas megacolon.
Complaints of fecal incontinence are often reported in the literature in cases of functional constipation and of idiopathic megacolon. Enfermedad de Hirschsprung en adultos.
Enfermedar PH, Nivatvongs S. It is caused by Trypanosoma cruzi 1 that is transmitted by blood-sucking insects, blood transfusions or fetal transmission 1,2. Surgical treatment of Chagas megacolon. Megacolon is an abnormal dilation of the colon that can be caused by several factors: Am J Surg Pathol ;31; Am J Gastroenterol ; Diagnostixo diagnosis depends on the stage of the disease and treatment is applicable only in the acute phase.
Informe de um caso.
HD is a congenital anomaly that occurs due to a discontinuation of the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion diatnostico undergo premature death between 5th and 12th weeks of pregnancy. Niger J Clin Pract.
J Pediatr Rio de J. The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8. In this latter case, HD may affect the entire colon and even the small intestine.
Enfermedad de Chagas en el diagnóstico diferencial del megacolon
In addition, it is established that factors related to gender play a role, since men are preferentially affected, at a frequency of 4: Rectosigmoidectomy with Ileal Loop Interposition. The girl refers onset of fecal incontinence at the age of Case Reports Late diagnosis of Hirschsprung’s disease. The enteric nervous system in chagasic and idiopathic megacolon. Case report We report a case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation.
Acta Cir Bras ;23 suppl,1: Surgery of Chagasic megacolon.
There was a problem providing the content you requested
The diagnosis of HD is supported by barium enema studies, anorectal manometry and rectal biopsy. CHD serology was performed being positive. Chagas disease CHD is endemic in the Americas but due to increased immigration is becoming increasingly common in our country. A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due to patient’s lack of cooperation.
A new surgical method for the treatment of chagasic megacolon. Recurrrrence of chagasic megacolon after surgical treatment: Enfeemedad for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result.
Dear EditorChagas disease CHD is endemic in the Americas but due to increased immigration is becoming increasingly common in our country. We report a case of a patient 41 years old, from Argentina, who dde to the emergency room with abdominal pain and constipation. Clinical case Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.
World J Surg 15 The CHD has three phases: Because of the morbidity involving the preservation of the affected colon segment, is reflected in the literature a tendency to prefer resection techniques for the derivative.
ENFERMEDAD de HIRSCHSPRUNG (DIAGNOSTICO) |authorSTREAM
HD presents itself by symptoms of birschsprung, such as a greater than h delay in elimination of meconium, abdominal distention and vomiting. Rev Argent Resid Cir. Some patients reach adulthood without a diagnosis for this disease.
The pathophysiology of CHD is not entirely known.
Enfermedad de Hirschsprung
The absence of ganglion cells results in permanent contraction of the affected segment, preventing the passage of fecal content through that region. Enfermedad de Hirschsprung del adulto: Therefore, the most liquid stools upstream pass around the fecal impaction hirscsprung produce the reported symptom, known as fecal incontinence soiling. Enfermedad de Hirschsprung en el adulto.
Currently the two most accepted are the Duhamel-Haddad technique 6,7which takes place two times and has the disadvantage of carrying a temporary perineal colostomy. Discussion HD is a congenital anomaly that occurs due to a discontinuation of the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy. Most patients with CHD have some type of heart disease, so they tend to be high risk for surgery 6.
During admission the patient was interrogated again and in her family history stands out the death of his mother for cardiac disease at the age of The blood test with tumor markers was normal and an abdominal CT objectived fecal and recto-sigmoid colon dilation Fig.