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  • Title: [Anesthetic management of a patient with diaphragmatic relaxation and megacolon].
    Author: Suematsu R, Sugi Y, Higa K, Katori K, Kikuta T.
    Journal: Masui; 2013 Dec; 62(12):1443-5. PubMed ID: 24498779.
    Abstract:
    We managed an 87-year-old man with diaphragmatic relaxation under general anesthesia. He had dyspnea and severe constipation. The chest X-ray revealed that two thirds of the left chest cavity were compressed by the megacolon gas. The Spo2 before the operation was 93%. The colon gas was deflated before and after the induction of anesthesia. There was no significant improvement in the tidal volume and the arterial oxygen tension. The postoperative chest X-ray showed that the shift of the left diaphragm was improved. He was able to walk 100 meters and the severe constipation disappeared after the operation.
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