Year 2013 / Volume 105 / Number 3
Letter to the Editor
Sigmoid volvulus as a presentation of neuronal intestinal dysplasia type B in an adolescent

pp. 178-179

Joel Omar Jáquez Quintana, José Alberto González González, Ana Cecilia Arana Guajardo, Ligia Larralde Contreras, Juan Pablo Flores Gutiérrez y Héctor Jesús Maldonado Garza

Abstract
We report a 17-year-old man admitted to emergency department due to abdominal pain and distension. He referred a history of 18 months with constipation. Computerized tomography showed dilatation of the colon and coprostasis. The patient improved after disimpaction with enemas. Colonoscopy and anorectal manometry were reported normal. A full thickness rectal biopsy revealed normal ganglion cells.

The patient was readmitted with a sigmoid volvulus. Sig- moidectomy and a termino-terminal anastomosis (descending colonrectum) were performed (Figs. 1A and B). Histologically, neuronal intestinal dysplasia type B (NID-B) (NID) was reported (Fig. 1 C). Dehiscence and anastomatic leakage were found along with dilatation of the descending and transverse colon. Subtotal colectomy with a colostomy of the ascending colon and Hartmann’s pouch were performed. The resected segments showed NID-B.
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Joel Omar Jáquez Quintana, José Alberto González González, Ana Cecilia Arana Guajardo, Ligia Larralde Contreras, Juan Pablo Flores Gutiérrez y Héctor Jesús Maldonado Garza. Sigmoid volvulus as a presentation of neuronal intestinal dysplasia type B in an adolescent. 178-179


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