[Anesthetic management of a patient with diaphragmatic relaxation and megacolon].
We managed an 87-year-old man with diaphragmatic relaxation under general anesthesia. He had dyspnea and severe constipation. The chest X-ray revealed that two thirds of the left chest cavity were compressed by the megacolon gas. The Spo2 before the operation was 93%. The colon gas was deflated before and after the induction of anesthesia. There was no significant improvement in the tidal volume and the arterial oxygen tension. The postoperative chest X-ray showed that the shift of the left diaphragm was improved. He was able to walk 100 meters and the severe constipation disappeared after the operation.
Department of Anesthesiology, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180.
Rie
R
Suematsu
Department of Anesthesiology, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180.
Yasuyuki
Y
Sugi
Department of Anesthesiology, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180.
Kazuo
K
Higa
Department of Anesthesiology, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180.
Kiyoshi
K
Katori
Department of Oral and Maxillofacial Surgery, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180.
Toshihiro
T
Kikuta
D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods*; D012809:Colon, Sigmoid / Q000601:surgery*; D003248:Constipation / Q000209:etiology; D003965:Diaphragmatic Eventration / Q000150:complications*; D006801:Humans; D008297:Male; D008531:Megacolon / Q000150:complications / Q000601:surgery*; D011300:Preoperative Care; D016896:Treatment Outcome