Summary
Whether the megacolon in this patient was due to a congenital defect in the innervation of the colon and its sphincters, or to a defect in the innervation secondary to the “brain fever” suffered at two months of age is conjectural. However, it is quite probable that the mental deficiency associated with poor personal hygiene and pica was an important contributory cause of the megacolon in this case.
Similar content being viewed by others
References
Judd, E. S. and Thompson, H. L.: Megacolon ; Analysis of 65 Cases.Minnesota Med., Vol. 11, pp. 439–449, July, 1928.
Formad, Henry F.: A Case of Giant Growth of the Colon.Univ. Med. Mag., Philadelphia, Vol. 4, p. 625, 1892.
Yeomans, F. C. : Textbook on Proctology, 1st Edition, Publishers, D. Appleton& Co., Chapter 23, pp. 424–435, 1929.
Hawkins, H. P.: Idiopathic Dilatation of the Colon.British Med. J., Vol. 1, p. 477, 1907.
Terry, Wallace I.: Surgical Treatment of Megacolon.J. A. M. A., Vol. LVII, p. 731, Aug. 26, 1911.
Lockhart-Mummery, P.: Diseases of Rectum and Colon and Their Surgical Treatment. Bulliere, Tendal & Cox, London, pp. 142- 144, 1923. Ibid: A Case of Megacolon with Secondary Carcinoma.Proc. of Royal Soc. of Med., London Sec. Surgery, Vol. 12. p. 44, 1918-19.
Shelley, H. J.: Acquired Megacolon.Ann. Surg., Vol. 93, pp. 910- 914, April, 1931
Segal, Zachary: Megacolon in the Adult with Report of Four Cases.Med. J. and Rec., Vol. 129, pp. 210–214, Feb. 20, 1929.
Scetta, G.: Acquired Megacolon.Case. Gazz. d. osp., Vol. 56, pp. 1252–1255, Dec. 1, 1935.
Author information
Authors and Affiliations
Additional information
From the Pathology and Coroner’s Departments, Cook County Hospital, Chicago, I11.
Rights and permissions
About this article
Cite this article
Bach, A.C., Imerman, H.M. & Kearns, J.J. Giant colon in an adult psychotic patient with necropsy report. Jour. D. D. 7, 523–525 (1940). https://doi.org/10.1007/BF03014585
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03014585