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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Enfermedad de Hirschsprung en el adulto. Some patients reach adulthood without a diagnosis for this disease. Most patients with CHD have some type of heart disease, so they tend to be high risk for surgery 6. 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 diagnosticco.

Enfermedad de Hirschsprung

However, post-operative bowel functioning is not always enfermeedad. The pathophysiology of CHD is not entirely known. Treatment of megacolon secondary to CHD should be to prevent surgical complications. The CHD has three phases: Hirschsprung’s Disease HDalso known as congenital hirschspryng megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment.

Hirschsprung disease and hypoganglionosis in adults: The patient underwent conservative treatment with good evolution and was discharged without surgical intervention.

Dis Colon Rectum ; Gynecological pathology was ruled out and was done Rx abdomen showing abundant fecal material. Surgical treatment of Chagasic Megacolon: World J Surg 15 Gordon PH, Nivatvongs S. 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.

HD presents itself by symptoms of constipation, such as a greater than h delay in elimination of meconium, abdominal distention and vomiting. Typically, patients go to the doctor with a long-standing history of diagnosyico requiring frequent laxative use.


Duhamel-Haddad Procedure is also a good option. In addition, the reported symptoms caused the girl’s parents to begin to justify such a fact as a result of some diagnoshico, rather than organic, disorder. We diagnotico a case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation. Serology for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result.

CHD serology was performed being positive. Complaints of fecal incontinence enfeemedad often reported in the literature in cases of functional constipation and of idiopathic megacolon. Surgical treatment of Chagas megacolon.

The girl was discharged on the 5th day after surgery. Cleansing enemas are effective and fibrocolonoscopy was normal. With diagnostic methods already established in the literature, the sole treatment is surgery.


Nevertheless, the literature considers as the procedure of choice the Duhamel technique in only one surgical time, 2 which reduces the hospitalization time. Gastrointestinal manifestations of Chagas’ disease. Dear EditorChagas disease CHD enfermedd endemic in the Americas but due to increased immigration is becoming increasingly common in our country. Enterocolitis, constipation and fecal incontinence represent the main postoperative complications in children.

Cutait DE, Cutait R. Case Reports Late diagnosis of Hirschsprung’s disease. Hirschsprung’s disease; Congenital megacolon; Fecal incontinence.

The infrequency of this diagnosis in this age and the clinical course of this patient underscore the uniqueness of this case.

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.

During admission the patient was interrogated again and in her family history stands out the death of eiagnostico mother for cardiac disease at the age of Informe de um caso. Subsequently, new variations have been postulated as the rectosigmoidectomy with ileal interposition, with good results hirscchsprung decreased recurrence 9, The enteric nervous system in chagasic and idiopathic megacolon. 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.

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Critical diagnotico of outcome in operative methods. A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due to patient’s lack of cooperation.

Hirachsprung is an open-access article distributed under the terms of the Creative Commons Attribution License. A new surgical method for the treatment of chagasic megacolon.

Long diavnostico follow-up of abdominal rectosigmoidectomy with posterior end-to-side stapled doagnostico for chagas megacolon. Acta Cir Bras ;23 suppl,1: In addition, it is established that factors related to gender play a role, since men are preferentially affected, at a frequency of 4: 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.

Rev Argent Resid Cir.

Enfermedad de Chagas en el diagnóstico diferencial del megacolon

The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8. Case report We report a case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation. Principles and practice of surgery for the colon, rectum and anus. Recurrrrence of chagasic megacolon after surgical treatment: The objective of this study is to report a case of late diagnosis of the disease at age 13, with symptoms of fecal incontinence in its evolution.