Total proctocolectomy and ileal J-pouch anal anastomosis for chagasic megacolon with fecaloma: report of a case.
Megacolon, resulting in severe constipation, is one of the most common manifestations of Chagas' disease. We herein report a case of megacolon with fecaloma in a 39-year-old Brazilian man who presented with severe constipation. He underwent a total proctocolectomy and ileal J-pouch anal anastomosis. Histologically, there was a marked thickening of the proper muscle layer, and a moderate decrease in the myoenteric nerve plexuses and neurons in the megacolon area. A feasible outcome has been achieved after a 1-year follow-up. A total proctocolectomy with ileal J-pouch anal anastomosis may therefore be one of the useful strategies for the surgical treatment of patients with chagasic megacolon.
Araki
Toshimitsu
T
Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu, Mie, 514-8507, Japan.
Miki
Chikao
C
Yoshiyama
Shigeyuki
S
Toiyama
Yuji
Y
Sakamoto
Naoko
N
Kusunoki
Masato
M
D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D014355:Chagas Disease / Q000150:complications*; D039021:Colonic Pouches; D005244:Fecal Impaction / Q000209:etiology; D008531:Megacolon / Q000209:etiology / Q000601:surgery*; D016737:Proctocolectomy, Restorative