Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2020
[Adult case of hypoganglionosis of the colon with a skip lesion: a case report].
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Watahiki Yu, Suzuki Tomohiro, Koya Yudai, Matsuoka Naoki, Matsuhashi Nobuo, Ichii Osamu, Tai Mayumi, Ejiri Yutaka, Ohira Hiromasa
Аннотация
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.