Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient
Introduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly. Case report. We present an 82-year-old female with long standing constipation presenting acutely with large...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/608505 |
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| author | R. Peravali H. Kranenburg J. E. Martin N. Keeling |
| author_facet | R. Peravali H. Kranenburg J. E. Martin N. Keeling |
| author_sort | R. Peravali |
| collection | DOAJ |
| description | Introduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly. Case report. We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman’s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process. Conclusion. Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal. |
| format | Article |
| id | doaj-art-2c5a0052ee594ea1b375f2bc5909f790 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-2c5a0052ee594ea1b375f2bc5909f7902025-02-03T01:25:38ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/608505608505Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly PatientR. Peravali0H. Kranenburg1J. E. Martin2N. Keeling3Department of Colorectal Surgery, West Suffolk NHS Foundation Trust, UKDepartment of Colorectal Surgery, West Suffolk NHS Foundation Trust, UKBICMS Pathology Group, Barts and The London School of Medicine and Dentistry, University of London, UKDepartment of Colorectal Surgery, West Suffolk NHS Foundation Trust, UKIntroduction. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly. Case report. We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman’s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process. Conclusion. Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal.http://dx.doi.org/10.1155/2013/608505 |
| spellingShingle | R. Peravali H. Kranenburg J. E. Martin N. Keeling Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient Case Reports in Surgery |
| title | Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient |
| title_full | Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient |
| title_fullStr | Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient |
| title_full_unstemmed | Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient |
| title_short | Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient |
| title_sort | chronic constipation in the elderly an unusual presentation of colonic dysmotility in an elderly patient |
| url | http://dx.doi.org/10.1155/2013/608505 |
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