Question
Can congenital megacolon be diagnosed through CT scans? If a child experiences abdominal bloating and difficulty defecating, and the results after DR examination and treatment are the same as before, should CT scans be considered for confirmation?
Answer
Yes, congenital megacolon is a condition caused by persistent spasm of the distal rectum or colon, leading to obstruction of feces in the proximal colon, which in turn causes thickening and dilation of the intestines. When necessary, abdominal X-rays, barium enema, biopsy, or electromyography can be performed. After diagnosis, conservative treatment methods such as enema should be chosen first, and surgical treatment may be necessary if required. Postoperative care should be strengthened, and follow-up examinations should be conducted according to the doctor’s advice.