2 cases of adult megacolon.docVIP

 PAGE \* MERGEFORMAT 7 2 cases of adult megacolon [Keywords:] Adult Megacolon Hirschsprung’s disease is due to the colon wall myenteric plexus ganglion cells caused by congenital absence or reduction of intestinal malformations more common in infants and children, adult Hirschsprung’s disease is relatively rare, occasional patients with this disease or lesions less well tolerated, until after the onset of adulthood, and even treatment of acute intestinal obstruction side. hospital in February 2005 and July 2006 were treated 2 cases of adult Hirschsprung’s disease and sigmoid obstruction with bezoars to reverse the patients, clinical data are combined with analysis of the literature will be as follows. 1 Clinical data Example 1 patients, women, farmers, 36 years old. Recurrent constipation of 30 years, past 5 years, recurrent abdominal distention, paroxysmal pain left lower abdominal discomfort, constipation, solution every 5 to 7 days time, not accompanied by nausea, vomiting, February before the pain intensified, and found the lower left abdomen, two mass about the size of goose eggs, hard, activities. week severe abdominal pain, colic was sustained, not supine rest, with anal bulge, anorexia, weight loss . stools unsolved, but still ventilated. no fever .2005 February 15 this hospital to our hospital. checkup: T 36.6 , P 84 beats / min, R 20 beats / min, BP 9/5kPa, Weight 42kg. generally poor, chronic tolerance. thorax symmetrical, heart and lung was normal. belly bulging, irregular shape, some rugged, soft abdomen, left lower quadrant tenderness, and may reach the same size category two round mass, about 5cm 7cm, clear boundary, hard texture, mass can be pushed from the left lower abdomen under the costal arch. abdominal percussion for the drum sounds, shifting dullness negative, bowel sounds active. no abnormal DRE. B-ultrasonic examination: abdominal cavity was the gas reflection, exploration and two left lower quadrant may 5cm 7cm light refl