Nontoxic Megacolon with Crohn's Disease: Report of a Case

Naokuni Yasuda, Makoto Watanabe, Takahiro Tanaka, Kana Saito, Kenichi Watanabe, Koji Kamisaka, Katsutoshi Hiwatashi and Mitsuo Kusano*

Department of Surgery, Isesaki Municipal Hospital
Department of Surgery, Showa University*

A 25-year-old man diagnosed with Crohn's disease in February 1990 reported abdominal pain and abdominal distension. Toxic symptoms of temperature increase and tackycardia had not developed. Gastrographin enema examination revealed megacolon between the transverse and descending colons. Surgery became necessary when conservative therapy proved ineffective. We conducted total colectomy due to the shortened ascending colon and megacolon and partial resection of the small intestine due to stricture. A lay-open procedure was conducted for anal fistula.

Key words
nontoxic megacolon, Crohn's disease

Reprint requests
Naokuni Yasuda Department of Surgery, Isesaki Municipal Hospital 1180 Tsunatori, Isesaki 372-0812 JAPAN

Accepted
October 30, 2002

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