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IMAGES IN ACADEMIC MEDICINE
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 194-196

Giant megacolon: An unusual surgical emergency


1 Department of Surgery, St. Luke's University Health Network, Bethlehem, PA, USA
2 Temple University School of Medicine, St. Luke's University Hospital Campus, Bethlehem, PA, USA
3 Department of Surgery, Division of Acute and Adult Trauma Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Correspondence Address:
Stanislaw P Stawicki
Department of Surgery, St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-5568.209861

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Giant megacolon (GMC), an advanced form of chronic megacolon, is an uncommon diagnosis that may evolve into a surgical emergency. Here, we demonstrate a case of an elderly male who presented to our hospital with complaints of acute abdominal distention and diffuse abdominal pain. He was emergently taken to the operating room where necrotic cecum was found. The patient underwent total abdominal colectomy with end ileostomy. Radiographic and operative images of GMC are presented. The authors also discuss the pathophysiology and clinical management of this surgical condition. The following core competencies are addressed in this article: Medical knowledge, Patient care.


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