Adult case of hypoganglionosis of the colon with a skip lesion: a case report

A 77-year-old woman was referred for severe constipation and abdominal distension which had lasted for 1 month. A computed tomography (CT) scan and a colonoscopy revealed segmental stricture in the transverse and descending colons. After no improvement in her symptoms was observed with conservative...

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Published inNippon Shōkakibyō Gakkai zasshi Vol. 117; no. 3; p. 237
Main Authors Watahiki, Yu, Suzuki, Tomohiro, Koya, Yudai, Matsuoka, Naoki, Matsuhashi, Nobuo, Ichii, Osamu, Tai, Mayumi, Ejiri, Yutaka, Ohira, Hiromasa
Format Journal Article
LanguageJapanese
Published Japan 2020
Subjects
Aged
Colectomy
Colon - innervation
Female
Humans
Myenteric Plexus
Recurrence
Tomography, X-Ray Computed
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Abstract A 77-year-old woman was referred for severe constipation and abdominal distension which had lasted for 1 month. A computed tomography (CT) scan and a colonoscopy revealed segmental stricture in the transverse and descending colons. After no improvement in her symptoms was observed with conservative therapy, we performed a left hemicolectomy. Histopathological examination revealed a reduction in ganglion cells in the Meissner's and Auerbach's plexuses and hypoganglionosis was diagnosed. In addition, a diagnosis of acquired hypoganglionosis was made because this case was adult onset, and there has been no recurrence.
AbstractList A 77-year-old woman was referred for severe constipation and abdominal distension which had lasted for 1 month. A computed tomography (CT) scan and a colonoscopy revealed segmental stricture in the transverse and descending colons. After no improvement in her symptoms was observed with conservative therapy, we performed a left hemicolectomy. Histopathological examination revealed a reduction in ganglion cells in the Meissner's and Auerbach's plexuses and hypoganglionosis was diagnosed. In addition, a diagnosis of acquired hypoganglionosis was made because this case was adult onset, and there has been no recurrence.
Author Watahiki, Yu
Tai, Mayumi
Matsuoka, Naoki
Ichii, Osamu
Ohira, Hiromasa
Matsuhashi, Nobuo
Koya, Yudai
Ejiri, Yutaka
Suzuki, Tomohiro
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  givenname: Tomohiro
  surname: Suzuki
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  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  surname: Koya
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  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  surname: Matsuoka
  fullname: Matsuoka, Naoki
  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  surname: Matsuhashi
  fullname: Matsuhashi, Nobuo
  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  organization: Department of Gastroenterology, Fukushima Rosai Hospital
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  givenname: Hiromasa
  surname: Ohira
  fullname: Ohira, Hiromasa
  organization: Department of Gastroenterology, Fukushima Medical University School of Medicine
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32161245$$D View this record in MEDLINE/PubMed
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Snippet A 77-year-old woman was referred for severe constipation and abdominal distension which had lasted for 1 month. A computed tomography (CT) scan and a...
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SubjectTerms Aged
Colectomy
Colon - innervation
Female
Humans
Myenteric Plexus
Recurrence
Tomography, X-Ray Computed
Title Adult case of hypoganglionosis of the colon with a skip lesion: a case report
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