Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case

Chronic idiopathic colonic pseudo-obstruction (CICP) is characterized by the chronic disturbance of colonic motility without mechanical obstruction, any underlying disease or medication. Currently, there are no established medical treatments for CICP. A 62-year-old female who had undergone right hem...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2014-03, Vol.44 (3), p.581-585
Main Authors: Miyazaki, Kensuke, Torashima, Yasuhiro, Mochizuki, Satoshi, Susumu, Seiya, Kanetaka, Kengo, Eguchi, Susumu, Kanematsu, Takashi, Abe, Kuniko, Fujita, Fumihiko
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
Case Report
Cecum - surgery
Chronic Disease
Colectomy - methods
Colonic Pseudo-Obstruction - pathology
Colonic Pseudo-Obstruction - surgery
Female
Hand-Assisted Laparoscopy - methods
Humans
Medicine
Medicine & Public Health
Middle Aged
Rectum - surgery
Recurrence
Surgery
Surgical Oncology
Syndrome
Treatment Outcome
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Summary:Chronic idiopathic colonic pseudo-obstruction (CICP) is characterized by the chronic disturbance of colonic motility without mechanical obstruction, any underlying disease or medication. Currently, there are no established medical treatments for CICP. A 62-year-old female who had undergone right hemicolectomy for splenic flexure syndrome caused by idiopathic megacolon was referred to our hospital with relapse, experiencing palpitation and abdominal fullness. She was diagnosed with CICP according to findings of marked dilation of the colon without mechanical obstruction, dilation of other parts of the gastrointestinal tract, or underlying disease. The dilated colon was surgically removed by hand-assisted laparoscopic subtotal colectomy, followed by cecorectal anastomosis. Histopathologically, there was no degeneration or lack of ganglion cells in Auerbach’s plexus. The patient has experienced no severe symptoms after undergoing the present operation.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-012-0430-3