A 50-year-old male presented with recurrent abdominal pain and chronic symptoms of recurrent constipation. He was experiencing recurrent episodes of constipation and abdominal distension since early adulthood. Patient complaints: The Patient had symptoms of abdominal distention with colicky pain. Medical history: He was experiencing episodes of constipation and abdominal distension since early adulthood. During the last five months, his constipation had worsened, and he is having severe vomiting for last one month.
Computed tomography: Computed tomography(CT) with three-dimensional reconstruction showed a dilated colon. Barium enema: It showed a dilated and large colon, with a transition zone located in the middle of the rectum. Surgical history: Surgery was performed three years ago for abdominal distention and acute abdominal pain. Further, after operation symptoms of chronic…