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Megacolon is an abnormal dilation of the colon (also called the large intestine). [ 1 ] [ 2 ] This leads to hypertrophy of the colon. [ 2 ] The dilation is often accompanied by a paralysis of the peristaltic movements of the bowel.
Most children develop signs and symptoms shortly after birth. However, others may be diagnosed later in infancy or early childhood. [4] [5] About half of all children with Hirschsprung's disease are diagnosed in the first year of life. [4] Complications may include enterocolitis, megacolon, bowel obstruction and intestinal perforation. [1] [2]
Goldberg-Shprintzen megacolon syndrome [1] Goldberg–Shprintzen syndrome is inherited in an autosomal recessive manner Goldberg–Shprintzen syndrome is a very rare connective tissue condition associated with mutations in KIAA1279 gene which encodes KIF-binding protein (KBP), a protein that may interact with microtubules and actin filaments .
Ogilvie syndrome, or acute colonic pseudo-obstruction, is the acute dilatation of the colon in the absence of any mechanical obstruction in severely ill patients. [1]Acute colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal X-ray.
Toxic megacolon is an acute form of colonic distension. [2] It is characterized by a very dilated colon ( megacolon ), accompanied by abdominal distension ( bloating ), and sometimes fever , abdominal pain , or shock .
At Every Child Pediatrics, Luzietti says around 7,000 of her patients lost Medicaid, and the percentage of uninsured patients seeking treatment at her clinics grew from 8% to 15% during the unwinding.
Complications include toxic megacolon, dehydration and sepsis.Such complications generally occur in young children (< 1 year of age) and immunocompromised people. A chronic course of the disease is possible; this disease process is likely to develop without a distinct acute phase.
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