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HIRSCHSPRUNG'S DISEASE IN AN ADULT: A CASE REPORT
A H Shitta1, B T Ugwu1, S D Peter1
1Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Insights
Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Genetics
Background:
- Hirschsprung's disease is rarely diagnosed in adolescents and adults, often due to misdiagnosis or delayed presentation.
- Recurrent constipation in older individuals can mask underlying conditions like Hirschsprung's disease.
Abstract:
Hirschsprung's disease in the adolescents and adults is not a common diagnosis in our environment. However this may be as a result of misdiagnosis or late presentation as is the case with other causes of recurrent constipation in older age groups. We present a case of a 19-year old male who presented with recurrent episodes of constipation from infancy with none requiring any intervention except for the index presentation that lasted for 3 weeks with associated progressive abdominal distension. Diagnosis was made with a barium enema and full thickness rectal biopsy. He had staged procedures with an initial divided colostomy thereafter followed by a definitive Souave endorectal pull-through with a good short-term outcome.
