Dolichocolon: A Narrative Review of an under-Recognized Disorder

Document Type : Review Article

Author

Department of Surgery, College of Medicine , Qassim University, KSA

10.30476/acrr.2025.109107.1272

Abstract

Dolichocolon is an anatomical variant that is often under-recognized but has significant clinical implications.
It is characterized by an abnormally elongated and redundant colon, distinguishing it from megacolon,
which involves an increase in the colon’s diameter. This condition can cause a wide range of gastrointestinal
symptoms, including persistent constipation, abdominal pain, and bloating, and may lead to potentially lifethreatening
complications such as volvulus. Imaging studies, including contrast studies, are essential for
confirming the diagnosis and determining the extent of colonic involvement. Management strategies depend
on the patient’s clinical status and may be either conservative or surgical. Conservative treatments include
lifestyle and dietary adjustments, while surgical options involve partial or total colectomy, performed via open
or laparoscopic approaches. This narrative review aims to raise clinical awareness of dolichocolon by providing
a comprehensive overview, covering its historical context, pathophysiology, clinical manifestations, diagnostic
methods, multifaceted treatment approaches, and current gaps in management.

Keywords


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