A gross distension (enlargement) of the colon, usually accompanied by severe, chronic constipation.
In children, the main causes of megacolon are anal fissures, Hirschsprung’s disease, and psychological factors that may have arisen during toilet-training. In elderly people, causes include the long-term use of strong laxative drugs. People suffering from chronic depression or schizophrenia often have megacolon. Other, rarer causes include hypothyroidism, spinal injury, and drugs such as morphine and codeine.
Megacolon causes constipation and abdominal bloating. Associated loss of appetite may lead to weight loss. Diarrhoea may result if semi-liquid faeces leak around the obstructing hard faeces.
Diagnosis is made by proctoscopy, barium X-ray examination, and tests of bowel muscle function. If Hirschsprung’s disease is suspected, biopsy of the large intestine may be performed. Impacted faeces are often removed using enemas. In severe cases, the faeces must be removed manually.
A greatly enlarged colon that may be present at birth or develop later. It can occur in all age groups and the condition is typi?ed by severe chronic constipation. Megacolon is caused by obstruction of the colon which may be due to faulty innervation, or to psychological factors. Other causes are HIRSCHSPRUNG’S DISEASE or ULCERATIVE COLITIS. In old people the persistent use of powerful laxative drugs may cause the condition.
n. pathological dilatation of the colon. It is caused by chronic obstruction of the colon (e.g. due to *Hirschsprung’s disease) or longstanding constipation, or it may occur as a complication of *ulcerative colitis (toxic megacolon).
Hirschsprung’s disease, or MEGACOLON, is a rare congenital disorder characterised by great hypertrophy and dilatation of the colon (see INTESTINE). The RECTUM and lower colon have failed to develop a normal nerve network, thus disturbing normal contraction and expansion of these structures. Treatment is surgical removal of the affected sections, with the remaining colon being joined to the anus.... hirschsprung’s disease
a congenital condition in which the rectum and sometimes part of the lower colon have failed to develop a normal nerve network. The affected portion does not expand or conduct the contents of the bowel, which accumulate in and distend the colon. Symptoms, which are usually apparent in the first weeks of life, are vomiting, constipation, abdominal distension, and intestinal obstruction. Diagnosis is by rectal biopsy (to confirm the absence of nerve cells), anorectal *manometry, and imaging. Treatment involves surgical removal of the affected segment and anastomosis of the remaining healthy bowel to the anus. See also megacolon. [H. Hirschsprung (1830–1916), Danish physician]... hirschsprung’s disease