17/09/2022
-The boy has 3 kg of f***s in his intestines after 5 years of constipation
A 5-year-old boy in Manila has been constipated since birth, causing his intestines to dilate more than 20 cm.
At birth, the boy had abdominal distension, constipation, and was diagnosed with a long colon. Every 2-3 days, the family has to pump into the a**s for the baby to defecate and collapse the abdomen. Several times to Manila City to visit, but difficult circumstances, inconvenient travel, so the family did not treat until the end.
After 5 years of struggling with constipation, a large amount of f***s accumulates in the dilated intestine, causing the baby's abdomen to become abnormally enlarged. The pain was getting worse, so recently the family took the baby to the City Children's Hospital for emergency
Doctors diagnosed the baby with congenital megacolon syndrome (Hirschsprung), which leaves a segment of the colon without nerves to control contractions. With the consultation from Associate Professor Atonio Comia the doctors performed 3 hours of surgery to remove the bulging part of the re**um with a length of nearly 20 cm and a dilatation of 20 cm. Although the e***as were removed before surgery, the amount of stagnation inside was still close to 3 kg. After more than 15 days of treatment, the baby is now eating and defecating comfortably, the abdomen is completely flat, and has just been discharged from the hospital.
+ Doctor Maria Santos, Department of General Surgery, Philippines Children's Medical Center said that congenital colonic aneurysm caused by agranulomatous (no ganglion in the intestinal wall) occupies the leading position in obstructive syndrome. intestines in infants.
Babies are born without meconium in the first day like normal babies. In the following days, the child continued to be constipated and the family had to use injectable medicine into the baby's a**s. At that time, some babies will be able to defecate, some still can't, have to be taken to the hospital to put a catheter into the a**s, pump physiological saline e***a to help the baby pass.
Not every child with this disease can be detected in infancy. The condition of the disease is severe or mild, detected early or late, depending on the length of the nodular bowel segment. Children who are operated early are many times more effective than when children are older.
The earlier the surgery, the less inflammation of the intestines of the newborn, especially the bowel function after surgery is better. Late surgery when the child is older, the more prolonged the stagnation of stool leads to the child's physical retardation, the high risk of enteritis before and after surgery, which can lead to sepsis, toxicity, even leading death
