查詢結果分析
來源資料
相關文獻
- An Adult Man with Refractory Constipation that is Diagnosed as 'Adult-type Hypoganglionosis'
- 簡易肛門壓力測驗法對於鑑別診斷巨結腸症及幼兒慢性便秘之效用
- 貓的便秘、頑固性便秘和巨結腸症
- 三個月男嬰便祕
- 以治療性遊戲應用於學齡期兒童手術前的準備
- 臨床思路--習慣性便秘辨治心得
- 癌症末期的便秘及其處理
- 便秘之臨床治療
- A Case Report of Constipation in a Dog Secondary to a Leiomyoma of the Colon
- Relief of Severe Fecal Impaction with Colonoscope--One Case Report and Review of Literature
頁籤選單縮合
題 名 | An Adult Man with Refractory Constipation that is Diagnosed as 'Adult-type Hypoganglionosis'=便秘的其他可能--成人型結腸神經節減少症 |
---|---|
作 者 | 蔡明潔; 白明忠; 陳煥霖; 熊立榕; 許自齊; | 書刊名 | 內科學誌 |
卷 期 | 27:1 2016.02[民105.02] |
頁 次 | 頁44-48 |
分類號 | 416.245 |
關鍵詞 | 便秘; 巨結腸症; 結腸神經節減少症; Constipation; Megacolon; Hypoganglionosis; |
語 文 | 英文(English) |
中文摘要 | 結腸神經節減少症是個類似Hirschsprung’s disease 為先天性巨結腸症的一種。九成的病人都在新生兒的時候診斷,平均診斷年齡為4.85歲。但我們要報告一個案在43歲時,因為嚴重便秘一年合併有巨結腸症,開刀切除腫脹的結腸後診斷為結腸神經節減少症。 |
英文摘要 | The Hypoganglinosis is a rare and resembles Hirschsprung’s disease in the male-to-female ratio, etiology and clinical presentation. Although chronic constipation is a common complaint in general population, the patients with constipation can accompany with fatal complication if the patient with megacolon which is related with hypoganglinosis. Up to 90.5% of patients with Hirschsprung’s disease are diagnosed in the newborn period and the median age at diagnosis of the patient with hypoganglinosis was 4.85 years old. We report a healthy 43 year-old male with severe constipation who is diagnosed as adult type hypoganglinosis. A 43-year-old man presented with chronic constipation, abdominal discomfort, and flatulence, and had been passing intestinal gas with unusual odors for 18 months. Computed tomography showed a severely dilated feces-filled proximal segment of the descending colon and transverse colon. The patient underwent subtotal colectomy with ileocolic anastomosis for a clinical impression of intractable megacolon. Histopathology confirmed a diagnosis of hypoganglionosis of the colon. The hypoganglinosis is rare disease in population, especially in adult group. However, the early and accurate diagnosis of adult hypoganglionosis is important for the physician to avoid fatal complication. We hope that adult intestinal innervation disorders will be considered readily in the differential diagnoses of chronic constipation. |
本系統中英文摘要資訊取自各篇刊載內容。