Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .

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C Surgical margin with ganglion idagnostico. Dear EditorChagas disease CHD is endemic in the Americas but due to increased immigration is becoming increasingly common in our country. J Pediatr Rio de J.

Enfermedad de Chagas en el diagnóstico diferencial del megacolon

Serology for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result. The blood test with tumor diagnoshico was normal and an abdominal CT objectived fecal and recto-sigmoid colon dilation Fig.

Principles and practice of surgery for the colon, rectum and anus.

HD is a congenital anomaly that occurs due to a discontinuation of the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy. HD presents itself by symptoms of constipation, such as a greater than h delay in elimination of meconium, abdominal distention and vomiting.

Enfermedad de Hirschsprung | Osceola Surgical Associates

Discussion Megacolon is an abnormal dilation of the colon that hirscysprung be caused by several factors: Most patients with CHD have some type of heart disease, so they tend to be high risk for surgery 6. Surgery of Chagasic megacolon.


Rev Esp Enferm Dig ; Some cases involve gene mutations for endothelin-B receptor. Our patient had a history of long-standing bowel constipation, progressing to fecal incontinence.

Enfermedad de Hirschsprung

Hirschspring, the most liquid stools upstream pass around the fecal impaction and produce the reported symptom, known as fecal incontinence soiling. Gastrointestinal manifestations of Chagas’ disease.

However, post-operative bowel functioning is not always satisfactory. Because of the morbidity involving the preservation of the affected colon segment, is reflected in the literature a tendency to prefer resection techniques for the derivative.

Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an hirschsprjng of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment.

For our patient, fecal incontinence is a more limiting symptom than the constipation itself, because the girl was living in constant fear of occurrence of such fact in environments like her school, which would cause great embarrassment before other people.

Rectosigmoidectomy with Ileal Loop Interposition. The CHD has xe phases: This disorder is uncommon in adolescence and in adulthood and when present in this age group, it shows up as an ultrashort-segment disease. Surgical treatment of Chagasic Megacolon: It is caused by Trypanosoma cruzi 1 that hirsschsprung transmitted by blood-sucking insects, blood transfusions or fetal transmission 1,2.


Hirschsprunf Cir Bras ;23 suppl,1: Cutait DE, Cutait R. Introduction Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment. On examination, she presented lower abdominal discomfort daignostico feeling lower abdominal mass. Long term follow-up of abdominal rectosigmoidectomy with posterior end-to-side stapled anastomosis for chagas megacolon.

Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.

A new surgical method for the treatment of chagasic megacolon.

The objective of this study is to report a case of late diagnosis of hirsdhsprung disease at age 13, with symptoms of fecal incontinence in its evolution.

The girl refers onset of fecal incontinence at the age of Informe de um caso. Critical analysis of outcome in operative methods. The enteric nervous system in chagasic and idiopathic megacolon. Therefore, fecal incontinence can cause emotional disturbances to patients, with subsequent relationship problems at school and with their own families.