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Inicio Cirugía Española (English Edition) Intestinal Obstruction and Megarectum
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Vol. 96. Issue 1.
Pages 49 (January 2018)
Vol. 96. Issue 1.
Pages 49 (January 2018)
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DOI: 10.1016/j.cireng.2017.02.008
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Intestinal Obstruction and Megarectum
Megarrecto condicionante de oclusión intestinal
Juan Manuel Romero Marcos
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Corresponding author.
, María Pau Carbonell Aliaga, Lorenzo Sbert Castañer, José Andrés Cifuentes Ródenas
Servicio de Cirugía General, Hospital Son Llàtzer, Palma de Mallorca, Spain
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The patient is a 68-year-old male who came to the Emergency Room complaining of symptoms of bowel obstruction. Abdominal radiography showed a coffee-bean sign suggestive of sigmoid volvulus (Fig. 1). However, by extending the study with an abdominal computed tomography scan, a voluminous megarectum was detected (Fig. 2).

Fig. 1
Fig. 2

The causes of megarectum in adults include Hirschprung disease, functional anorectal obstruction and certain neuroendocrine disorders, although it is frequently classified as idiopathic. Treatment is medical, involving enemas and laxatives; however, surgery can be necessary in refractory cases.

Please cite this article as: Romero Marcos JM, Carbonell Aliaga MP, Sbert Castañer L, Cifuentes Ródenas JA. Megarrecto condicionante de oclusión intestinal. Cir Esp. 2018;96:49.

Copyright © 2017. AEC
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