{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:46:06Z","timestamp":1782744366330,"version":"3.54.5"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,26]],"date-time":"2022-06-26T00:00:00Z","timestamp":1656201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Giant megacolon requiring emergency surgery is rare. Eventration of the diaphragm associated with giant megacolon is also uncommon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report a 66-year-old male who presented with abdominal distention and progressive dyspnea. After resuscitation following cardiopulmonary arrest, the patient underwent emergent subtotal abdominal colectomy. Eventration of the diaphragm was found postoperatively and his respiratory condition was insufficient to allow liberation. Plication of both diaphragms was performed through left and right thoracotomy via the 8th intercostal space. Postoperatively the patient made a full recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussions:<\/jats:title>\n                    <jats:p>Chronic constipation is a common health condition. A life-threatening condition secondary to chronic constipation is a rarely documented complication. Diaphragmatic eventration that was caused due to chronic megacolon in symptomatic patients requires surgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We describe a patient with giant megacolon and diaphragmatic eventration secondary to idiopathic megacolon. The patient underwent subtotal colectomy and diaphragmatic plication and recovered fully.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107372","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T22:24:13Z","timestamp":1656541453000},"page":"107372","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Idiopathic megacolon complicated by life-threatening giant megacolon and respiratory failure due to diaphragmatic eventration"],"prefix":"10.1097","volume":"96","author":[{"given":"Masataka","family":"Fujiwara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Sadatomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyoshi","family":"Tsubochi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisanaga","family":"Horie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan Kawarai","family":"Lefor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naohiro","family":"Sata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-85-20260309","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1097\/00000658-196103000-00012","article-title":"Giant megacolon in the insane. Subtotal colectomy as a method of management","volume":"153","author":"Watkins","year":"1961","journal-title":"Ann Surg"},{"key":"R2-85-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"FT","year":"2020","journal-title":"Int J Surg"},{"key":"R3-85-20260309","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1023\/A:1021813027694","article-title":"Low-cost instrumentation for the diagnosis of Hirschsprung's disease","volume":"27","author":"Kara","year":"2003","journal-title":"Journal of medical systems"},{"key":"R4-85-20260309","first-page":"287","article-title":"Acute and chronic intestinal pseudo-obstruction","volume":"36","author":"Camilleri","year":"1991","journal-title":"Adv. Intern. Med"},{"key":"R5-85-20260309","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/MEG.0b013e3280116cb8","article-title":"Idiopathic megacolon","volume":"19","author":"Autschbach","year":"2007","journal-title":"Eur. J. Gastroenterol. Hepatol"},{"key":"R6-85-20260309","doi-asserted-by":"crossref","first-page":"2398","DOI":"10.1007\/s10620-015-3645-5","article-title":"Clinical features and colonic motor disturbances in chronic megacolon in adults","volume":"60","author":"O'Dwyer","year":"2015","journal-title":"Dig. Dis. Sci"},{"key":"R7-85-20260309","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/01.pas.0000213371.79300.a8","article-title":"The enteric nervous system in chagasic and idiopathic megacolon","volume":"31","author":"Iantorno","year":"2007","journal-title":"Am. J. Surg. Pathol"},{"key":"R9-85-20260309","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1136\/gut.41.1.93","article-title":"Clinical features of idiopathic megarectum and idiopathic megacolon","volume":"41","author":"Gattuso","year":"1997","journal-title":"Gut"},{"key":"R12-85-20260309","doi-asserted-by":"crossref","first-page":"224","DOI":"10.5761\/atcs.oa.16-00018","article-title":"Comparison of mid-term clinical outcomes of different surgical approaches in symptomatic diaphragmatic eventration","volume":"22","author":"Evman","year":"2016","journal-title":"Ann. Thorac. Cardiovasc. Surg"},{"key":"R13-85-20260309","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1007\/s12328-020-01316-z","article-title":"Diaphragmatic plication for diaphragmatic eventration caused by chronic constipation: a case report","volume":"14","author":"Yoshimori","year":"2021","journal-title":"Clin. J. Gastroenterol"},{"key":"R14-85-20260309","first-page":"18","article-title":"Hemidiaphragm dysfunction due to megacolon: functional recovery after colectomy","volume":"50","author":"Nava","year":"1995","journal-title":"Monaldi Arch. Chest Dis"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222006186?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222006186?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:06:34Z","timestamp":1773047194000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107372"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107372","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}