A case of idiopathic giant megacolon in an obese patient
Pietro Fransvea, Francesco Cortese
The Pan African Medical Journal. ;31:206. doi:10.11604/pamj..31.206.16982

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A case of idiopathic giant megacolon in an obese patient

Pietro Fransvea, Francesco Cortese
Pan Afr Med J. 2018; 31:206. doi:10.11604/pamj.2018.31.206.16982. Published 26 Nov 2018

A 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 24,000 x10 * 3 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.

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

©Pietro Fransvea et al. 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.

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