Artículos de revistas
TOXIC DILATATION OF THE COLON IN CHAGAS-DISEASE
Fecha
1992-11-01Registro en:
British Journal of Surgery. Oxford: Blackwell Science Ltd, v. 79, n. 11, p. 1202-1203, 1992.
0007-1323
10.1002/bjs.1800791135
WOS:A1992JY10500033
Autor
Universidade Estadual Paulista (Unesp)
Institución
Resumen
Toxic megacolon occurs in colitis of differing aetiology. This report describes 15 patients with chagasic megacolon with this complication. The clinical signs and symptoms in all patients were pain and progressive abdominal distension accompanied by fever, severe toxaemia and shock. Seven patients developed this clinical pattern after manual removal of faeces. The remaining patients had pain and abdominal distension followed by signs of severe toxaemia when first examined. Nine patients underwent total colectomy with ileostomy (one death), four partial colectomy (all died) and two received medical treatment (both died). At autopsy, three of the four patients undergoing partial colectomy had residual colitis and enteritis. The surgical procedure of choice for this complication of chagasic megacolon is total colectomy.