• Users Online: 301
  • Print this page
  • Email this page
Year : 2017  |  Volume : 50  |  Issue : 1  |  Page : 40-43

Intractable constipation in an adult with megarectosigmoid following repair of low-type anorectal malformation

1 Department of Surgery, Division of Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan
2 Department of Pediatric Surgery, Changhua Christian Hospital, Changhua, New Taipei City, Taiwan
3 Department of Surgery, Division of Pediatric Surgery, Mackay Memorial Hospital, Taipei; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan
4 Department of Surgery, Division of Colorectal Surgery, Mackay Memorial Hospital, Taipei, Taiwan

Correspondence Address:
Chin-Hung Wei
No. 92, Section 2, Zhongshan North Road, Zhongshan District, Taipei City 10449
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_4_17

Rights and Permissions

A 55-year-old male patient received an anoplasty at infancy for low-type anorectal malformation, and intractable constipation was observed since. The patient presented with colitis at the emergency department. Computed tomography revealed feces with a megarectosigmoid of diameter 18 cm. Hirschsprung disease was suspected on the basis of the imaging findings. Therefore, a rectal biopsy was performed, which indicated the presence of normal ganglion cells. Bowel management was implemented with one large-volume enema to empty the huge rectal pouch daily. The patient was free of constipation and had an improved nutritional status with appropriate weight gain in 3 months. A laparoscopic Swenson pull-through was performed. The hospital course was uneventful. Enemas, loperamide, and water-soluble fibers were required for frequent soiling because of postoperative hypermotile colon. The treatments were weaned off gradually. At the latest follow-up (2 years postoperatively), the patient had regular voluntary bowel movements with complete bowel control.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded229    
    Comments [Add]    
    Cited by others 1    

Recommend this journal