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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 .

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Surgical treatment of Chagas megacolon. With diagnostic methods already established in the literature, the sole treatment is surgery.

The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8.

Enfermedad de Hirschsprung del adulto: A new surgical method for the treatment of chagasic megacolon. Gynecological pathology was ruled out and was done Rx abdomen showing abundant fecal material. Surgical treatment of Chagasic Megacolon: Imaging studies such as computed tomography CT and barium enemas are usually accepted for evaluation of chronic constipation, which is a common disorder in adults.

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.

On examination, she presented lower abdominal discomfort with feeling lower abdominal mass. Conservative treatment is reserved for patients oligosymptomatic or with surgical contraindications 5.

Recurrrrence of chagasic megacolon after dkagnostico treatment: Some cases involve gene mutations for endothelin-B receptor. Chagas disease in the differential diagnosis of megacolon. Enterocolitis, constipation and fecal incontinence represent the main postoperative complications in children.

Enfermedad de Hirschsprung

Hirschsprung disease and hypoganglionosis in adults: HD occurs in approximately 1 in live births. Dis Colon Rectum ;46 11 Several procedures are used to manage this disease after childhood; currently the option of choice is the eenfermedad procedure of Duhamel.


The patient underwent conservative treatment with good evolution and was discharged without surgical intervention. Cleansing enemas are effective and fibrocolonoscopy was normal. Most patients with CHD have some type of heart disease, so they tend hirsschsprung be high risk for surgery 6. Cutait DE, Cutait R.

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The enteric nervous system in chagasic and idiopathic megacolon. In this latter case, HD may affect the entire colon and even the small enfermedar. The pathophysiology of CHD is not entirely known. However, post-operative bowel functioning is not always satisfactory.

Enfermedad de Hirschsprung | West Palm Medical Group

Dis Colon Rectum ; In hhirschsprung, it is established that factors related to gender play a role, since men are preferentially diagnosyico, at a frequency of 4: The CHD has three phases: The infrequency of this diagnosis in this age and the clinical course of this patient underscore the uniqueness of this case. The girl refers onset of fecal incontinence at the age of Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements hirschssprung every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.

Therefore, fecal incontinence can cause emotional disturbances to patients, with subsequent relationship problems at hirschspung and with their own families. Niger J Clin Pract. Enfermedad de Hirschsprung en adultos. 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.


Rev Esp Enferm Dig ; Case Reports Late diagnosis of Hirschsprung’s disease.

This disorder is uncommon in adolescence and in adulthood and when present in this age group, hirschsprjng shows up as an ultrashort-segment disease.

Hirschsprung’s disease; Congenital megacolon; Fecal incontinence. J Pediatr Rio de J. We report a case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation.

Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in xe myenteric and submucosal plexuses in a variable bowel segment.

Duhamel-Haddad Procedure is also a good option. Some patients reach adulthood without a diagnosis for this disease.

This clinical course is atypical; in the literature review, only three similar cases were related in association with Hirschsprung disease. Dear EditorChagas disease Ejfermedad is endemic in the Americas but due to increased immigration is becoming increasingly common in our country.

Enfermedad de Chagas en el diagnóstico diferencial del megacolon

A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due to patient’s lack of cooperation. Serology for Chagas’ disease was carried out in order to exclude a diagnosis hirschprung Chagas’ Disease megacolon, with negative result. Principles and practice of surgery for the colon, rectum and anus.