[Toxic Megacolon: A rare complication of chronic constipation. Three Pediatric Cases]. / Megacolon Tóxico: Complicación infrecuente de la constipación crónica. A propósito de 3 casos pediátricos.
Andes Pediatr
; 93(1): 105-109, 2022 Feb.
Article
em Es
| MEDLINE
| ID: mdl-35506783
INTRODUCTION: Chronic constipation is a frequent pathology in the pediatric age that affects the quality of life of pa tients and their families. Its management is usually complex and long associated with poor adheren ce. Toxic megacolon is a serious, potentially lethal disease when chronic constipation is left untreated or poor adherence to treatment. OBJECTIVE: To report 3 pediatric cases of toxic megacolon as a com plication of poorly managed chronic constipation. CLINICAL CASES: Three males patients, aged 6 to 13 years, with a history of chronic constipation and poor adherence to treatment are discussed. They were admitted to the emergency department with clinical findings of toxic megacolon (intestinal dilation and signs of systemic toxicity). Given their condition, all patients required management in the critical patient unit (CPU) and early surgical intervention, undergoing ostomy. All presented fa vorable outcome, performing stoma reversal surgery between 8-24 months later. In all cases, organic cause of the constipation was ruled out. CONCLUSIONS: Toxic megacolon is an infrequent but highly morbid and potentially lethal disease. It requires a high index of suspicion as well as multidisciplinary medical-surgical management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Megacolo Tóxico
Tipo de estudo:
Diagnostic_studies
Aspecto:
Patient_preference
Limite:
Child
/
Humans
/
Male
Idioma:
Es
Revista:
Andes Pediatr
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile