Laparoscopic subtotal colectomy for a patient with chronic idiopathic colonic pseudo-obstruction: Report of a case.

Authors:
Tsuyoshi Ozawa
Tsuyoshi Ozawa
Graduate School of Medicine
Soichiro Ishihara
Soichiro Ishihara
The University of Tokyo
Yuka Okada
Yuka Okada
Wakayama Medical University
Japan
Kohei Ohno
Kohei Ohno
Sapporo Medical University School of Medicine
Takahiro Yagi
Takahiro Yagi
Teikyo University School of Medicine
Yoshihisa Fukushima
Yoshihisa Fukushima
Teikyo University School of Medicine
Ryu Shimada
Ryu Shimada
Teikyo University School of Medicine
Japan
Tamuro Hayama
Tamuro Hayama
Teikyo University School of Medicine
Japan

Asian J Endosc Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

A 47-year-old male patient without a documented past medical history was referred to Sanno Hospital because of constipation and abdominal pain, which he had had for more than 5 years. Abdominal X-ray and CT scan showed an enlarged ascending colon from the cecum to the transverse colon, without apparent mechanical obstruction. The patient was diagnosed with chronic idiopathic colonic pseudo-obstruction, and because his symptoms were resistant to medication, surgical treatment was required. Laparoscopic subtotal colectomy was performed without any complications. Constipation was relieved, and the patient began defecating 2-3 times a day without medication. Pathological specimens showed that Meissner's plexus and Auerbach's plexus had decreased and that there were fewer ganglion cells-findings consistent with chronic idiopathic intestinal pseudo-obstruction.

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http://dx.doi.org/10.1111/ases.12682DOI Listing
January 2019
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