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Inicio Cirugía Española (English Edition) Intestinal Neuronal Dysplasia in a Patient With Chronic Colonic Pseudo-Obstructi...
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Vol. 92. Núm. 10.
Páginas e59 (diciembre 2014)
Vol. 92. Núm. 10.
Páginas e59 (diciembre 2014)
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Intestinal Neuronal Dysplasia in a Patient With Chronic Colonic Pseudo-Obstruction
Displasia neuronal intestinal en paciente con pseudoobstrucción colónica crónica
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María Clara López Sanclemente
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maclaire@yahoo.com

Corresponding author.
, Jordi Castellvi, Luis Ortiz de Zárate, Pedro Barrios
Consorci Sanitari Integral, Hospital Sant Joan Despi, Moises Broggi, Spain
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Intestinal pseudo-obstruction is related with enteric nervous system disorders. Intestinal neuronal dysplasia is an aganglionosis and is different from Hirschprung's disease as it is a hyperplasia of the submucosal and myenteric plexuses, with ganglion hypertrophy. We present the case of a 47-year-old patient, with symptoms of progressive respiratory failure and severe abdominal distension due to massive megacolon and diaphragm compression (Fig. 1). After a failed colonoscopy, a laparotomy and a decompression colostomy were performed. Two months later, a subtotal colectomy with ileorectal anastomosis was done (Fig. 2), and the patient's evolution was favorable. The pathology study diagnosed intestinal neuronal dysplasia.

Fig. 1
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Fig. 2
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Please cite this article as: López Sanclemente MC, Castellvi J, Ortiz de Zárate L, Barrios P. Displasia neuronal intestinal en paciente con pseudoobstrucción colónica crónica. Cir Esp. 2014;92:e59.

Copyright © 2014. AEC
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