Causes
Often a progression of chronic constipation. Also caused by pelvic narrowing (poorly healed fractures), neurological problems, or it may be idiopathic.
Diagnosis
X-ray showing the colon severely dilated and full of faeces.
Treatment
Medical management: diet, laxatives, prokinetics, periodic evacuations. Advanced cases that do not respond: surgery to remove the affected part of the colon.
Prevention
Treat constipation early so it does not progress, along with hydration, fibre and exercise.

