Abdominal compartment syndrome with colonic hypoganglionosis and massive colonic distension in a young adult: A case report

Figure 1 Plain film showing huge accumulation of stools.

Figure 2 Abdominal computed tomography. A: Coronal view showing diffuse colonic distension with accumulation of stools. The rectal wall is thickened (small arrows) and a large and dense fecaloma is demonstrated within the lumen (large arrow); B: Rectum with a dense 100-mm fecaloma (large arrow); C: Rectum reaching 193 mm in diameter.

Figure 3 Patient in the operating room with overt abdominal distension.

Figure 4 Xiphopubic laparotomy showing the overwhelming distended rectum.

Figure 5 Total proctocolectomy completed. The specimen measured 500 cm in length.

Figure 6 Section of the muscle layer of the distal bowel, from the area showing thickened wall and stenosis. A ganglion with a single ganglion cell is demonstrated (green arrows) while in other places only Schwann cells are demonstrated (yellow arrows). The insert: An enlarged view showing the single ganglion cell.