ACASE OF MEGACOLON TREATED WITH PERCUTANEOUS ENDOSCOPIC SIGMOIDOSTOMY

Abstract

A 75-year-ald female patient was admitted for abdominal pain and hypoprotenemia. Forseveral years the patient had been suffering from abdominal distention and constipation. Plainabdominal X-ray films showed rnarked dilatation with massive gas of the left side colon. Thesigmoid colon was 15cm in diameter, however, the right side colon was not dilated with few gas.Percutaneous endoscopic sigmoidostomy (PES) was perfarmed without laparoscopic controlbecause of refuse for sigmoidectomy and laparotomy. After decompression of gas in thesigmoid colon, antegrade continence enema was performed every day through the sigmoidos-tomy. Lead to this way, her megaton was improved, and defecation was controlled. To myknowledge, there has bees no report of this procedu.re in Japan.