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Severely constipated: Doctors remove parts of the intestine filled with 13 kilos of faeces


Rare ailment: Doctors remove giant piece of intestine from a man's abdomen
In China, doctors removed a part of the intestine filled with almost 13 kilos of faeces from a 22-year-old. The patient suffered from "Hirschsprung's disease", a congenital malformation that affects the rectum. This meant that the young man could no longer empty his bowels properly.

Removed part of the intestine filled with faeces
In Shanghai (China), doctors removed a 22-year-old piece of intestine from a 22-year-old man in a three-hour operation. The part weighed almost 13 kilograms and was filled with faeces, reports, among other things, the British newspaper "Daily Mail". According to the information, the patient suffered from a rare disease. The surgery probably saved his life.

As if he was pregnant
Dr. Yin Lu from Tenth People’s Hospital in Shanghai told Chinese paper The Paper that the patient’s stomach looked like he was nine months pregnant. "It looked like it was going to explode," the doctor said.

According to media reports, the young man has had abdominal pain, stomach problems and constipation since he was born. Laxatives had only given him short-term relief.

The patient was said to have a congenital megacolon, also known as Hirschsprung's disease or Hirschsprung's disease.

Feces are no longer transported to the intestinal exit
“Hirschsprung's disease” (MH) is a malformation of the rectum that develops around the 4th to 12th week of pregnancy.

It is characteristic of MH that nerve cells are missing in part of the intestinal wall and in the inner sphincter, which means that no pushing movement can take place in the intestine to transport the faeces towards the intestinal exit (anus).

As a result, the stool builds up in front of the affected part of the intestinal wall and leads to a massive expansion of the large intestine (megacolon), which often appears on the outside through a strong bloated stomach.

Symptoms include abdominal pain, constipation and hard bowel movements.

Boys are affected more often than girls
According to the Clinic for Pediatric Surgery in Berlin, Hirschsprung's disease is one of the rare, congenital diseases and occurs with a frequency of 1: 3,000 - 5,000.

“That means that in Germany a child is born about every second to third day. Boys are affected up to four times more often than girls, ”the experts write on their website.

Since it is a congenital malformation, the disease is usually diagnosed and treated as early as the newborn.

In some cases, however, due to weak or unremarkable symptoms, MH may not be diagnosed immediately after birth, and the child may appear to be healthy instead.

Ensure that the stool is emptied even after the operation
It does not appear from the press reports whether the Chinese patient knew as a child that he suffered from Hirschsprung's disease. The operation has probably saved the 22-year-old's life.

But his treatment may not be over yet. Because even if an operation "was successful, it is still important to ensure adequate stool emptying," write the experts from the Berlin Clinic for Pediatric Surgery.

"Sometimes there is a problem emptying the stool even after the operation: because the communication between the rectum and the sphincter, which is crucial for emptying the stool, does not work perfectly and because the inner sphincter can also have an" opening weakness "after the operation" , it goes on there. (ad)

Author and source information


Video: Constipation and the Colon - Mayo Clinic (December 2021).