{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T04:45:24Z","timestamp":1648701924545},"reference-count":4,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Chronic constipation is common in the elderly, and often no underlying pathology is found. Primary colonic dysmotility has been described in children but is rare in the elderly.<jats:italic>Case report.<\/jats:italic>We present an 82-year-old female with long standing constipation presenting acutely with large bowel obstruction. Laparotomy and Hartman\u2019s procedure was performed, and a grossly distended sigmoid colon was resected. Histology revealed a primary myopathic process.<jats:italic>Conclusion.<\/jats:italic>Primary colonic myopathy should be considered in elderly patients presenting with large bowel obstruction and a long preceding history of constipation, particularly when previous endoscopic examinations were normal.<\/jats:p>","DOI":"10.1155\/2013\/608505","type":"journal-article","created":{"date-parts":[[2013,7,15]],"date-time":"2013-07-15T21:02:10Z","timestamp":1373922130000},"page":"1-2","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Constipation in the Elderly: An Unusual Presentation of Colonic Dysmotility in an Elderly Patient"],"prefix":"10.1155","volume":"2013","author":[{"given":"R.","family":"Peravali","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, West Suffolk NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kranenburg","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, West Suffolk NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. E.","family":"Martin","sequence":"additional","affiliation":[{"name":"BICMS Pathology Group, Barts and The London School of Medicine and Dentistry, University of London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Keeling","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, West Suffolk NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"6","key":"1","doi-asserted-by":"crossref","first-page":"787","DOI":"10.3109\/15513819209024235","volume":"12","year":"1992","journal-title":"Pediatric Pathology"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1038\/ncpgasthep1254"},{"issue":"3","key":"3","first-page":"137","volume":"19","year":"2000","journal-title":"Indian Journal of Gastroenterology"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2010.12.001"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2013\/608505.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2013\/608505.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2013\/608505.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T16:17:15Z","timestamp":1498061835000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2013\/608505\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":4,"alternative-id":["608505","608505"],"URL":"https:\/\/doi.org\/10.1155\/2013\/608505","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}