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A case of Hirschsprung's disease underwent surgery in adulthood.
- Source :
- Journal of Pediatric Surgery Case Reports; Oct2016, Vol. 13, p1-5, 5p
- Publication Year :
- 2016
-
Abstract
- Adult Hirschsprung's disease is a rare motor disorder of the gut that is frequently misdiagnosed as refractory constipation. We describe a 30-year-old patient with adult Hirschsprung's disease with a history of chronic constipation requiring daily enema. Barium enema and rectal biopsy showed short segment-type Hirschsprung's disease with a grossly distended sigmoid colon with fecal retention. Staged operations, including the Duhamel-GIA method as a definitive surgery, completely resolved the patient's symptoms. There were no complications by the end of a 7-year follow-up. Adult Hirschsprung's disease should be considered in the differential diagnosis of cases where adult patients present with chronic constipation. Despite technical difficulty of the modified Duhamel-GIA procedure due to chronic fibrous changes of the rectum, it is a feasible surgical option for treating cases of adult Hirschsprung's disease. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 22135766
- Volume :
- 13
- Database :
- Supplemental Index
- Journal :
- Journal of Pediatric Surgery Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 118267481
- Full Text :
- https://doi.org/10.1016/j.epsc.2016.07.005