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Case Report

A Case of Megacolon with a Giant Fecaloma on Medico-Legal Autopsy

B Meel, Research Associate, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth 6017, South Africa. , Robert Ngude1 , B Meel2

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Indian Journal of Forensic Medicine and Pathology 14(3):p 379-382, . | DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.14321.9
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Robert Ngude, B Meel/A Case of Megacolon with a Giant Fecaloma
on Medico-Legal Autopsy/Indian Journal of Forensic Medicine and
Pathology/2021;14)3):61-64.
 

Received : N/A         Accepted : N/A          Published : N/A
Abstract

Chronic constipation is one of the causes of megacolon. It is generally a natural death, provided not died during procedure under anesthesia. This case )NM) is of a 15-year girl )NM) who died on the operation table and referred for a medico-legal autopsy. There has been a history of repeated episodes of constipation since the age of six, and frequently hospitalized but no definite diagnosis was made by primary health care physician. On autopsy, large bowel was distended with a hard giant fecaloma. On histopathological examination, hirschsprung’s disease is ruled, and idiopathic megacolon was considered as a cause of death. History, clinical examination, autopsy findings, and histopathological picture along with medical negligence are discussed in this report.

 

Keywords | Hirschsprung disease; Idiopathic megacolon; Fecal impaction.
 

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  • B Meel, Research Associate, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth 6017, South Africa.
    ,
  • Robert Ngude1
    ,
  • B Meel2
    ,
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Cite this article

 

Robert Ngude, B Meel/A Case of Megacolon with a Giant Fecaloma
on Medico-Legal Autopsy/Indian Journal of Forensic Medicine and
Pathology/2021;14)3):61-64.
 

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DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.14321.9
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