A case of idiopathic giant megacolon in an obese patient
Pietro Fransvea, Francesco Cortese
The Pan African Medical Journal. 2018;31:206. doi:10.11604/pamj.2018.31.206.16982

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A case of idiopathic giant megacolon in an obese patient

Cite this: The Pan African Medical Journal. 2018;31:206. doi:10.11604/pamj.2018.31.206.16982

Received: 01/09/2018 - Accepted: 07/11/2018 - Published: 26/11/2018

Key words: Megacolon idipathic obese, obese patientitle, Rome

© Pietro Fransvea et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/31/206/full

Corresponding author: Pietro Fransvea, Faculty of Medicine and Psychology, "La Sapienza" University of Rome-St Andrea’s Hospital, Rome, Italy (pietro.fransvea@gmail.com)


A case of idiopathic giant megacolon in an obese patient

Pietro Fransvea1,&, Francesco Cortese2

 

1Faculty of Medicine and Psychology, "La Sapienza" University of Rome-St Andrea’s Hospital, Rome, Italy, 2Emergency Surgery and Trauma Care Unit, St Filippo Neri Hospital, Rome, Italy

 

 

&Corresponding author
Pietro Fransvea, Faculty of Medicine and Psychology, "La Sapienza" University of Rome-St Andrea’s Hospital, Rome, Italy

 

 

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43-year-old man complaining of abdominal nausea starting 15 days earlier and vomiting was admitted to our emergency department. The patient was affected by a sever obesity with a BMI of 55.5; there was also an history of diabetes and hypertension. The abdomen was distended, diffusely painful, tympanic to percussion and the Blumberg sign was intensely positive; WBC count was 24,000x103 with marked neutrophilia, hemoglobin 9.6 g/dl, with haematocrit 30.6%. A distended colon was present at plain RX abdomen while the CT cannot be performed due to the high BMI of the patient. At laparotomy a giant idiopathic megacolon was found and an Hartmann procedure was performed. The patient was discharged 15 postop with no complication. The anatomopathological examination documented a normal colon tissue. Diagnosis in obese patients is often difficult because they are paucisintomatic and the physical examination is difficult to achieve.

 

 

Figure 1: findings at laparotomy, giant megacolon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Megacolon idipathic obese
Obese patientitle
Rome

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