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Image of the Month: Enterocolitis Following a Pull-through for Total Colonic Hirschsprung Disease in a 2-Year-Old Boy

Anisha Apte1, Elise McKenna2, Marc A Levitt1,2,3

  • 1Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States.

European Journal of Pediatric Surgery Reports
|January 13, 2021
PubMed

Insights

This case study discusses a 2-year-old boy with total colonic Hirschsprung disease (HD) who developed enterocolitis after surgery. It highlights evaluating obstructive symptoms in HD patients post-correction.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Case Reports

Background:

  • Hirschsprung disease (HD) is a congenital condition affecting the large intestine.
  • Total colonic HD involves the entire colon, necessitating complex surgical management.
  • Early surgical intervention, including ileostomy and pull-through procedures, is common.

Observation:

  • A 2-year-old boy with total colonic HD experienced recurrent enterocolitis post-colectomy and pull-through surgery.
  • The patient presented with obstructive symptoms following the corrective procedure.
  • A key image and quiz format are used to analyze the case.

Findings:

  • Recurrent enterocolitis is a significant complication in patients with total colonic HD after corrective surgery.
  • Obstructive symptoms warrant careful evaluation in the post-operative period.
  • Multifaceted management strategies may be required for complex HD cases.

Implications:

  • This case underscores the importance of vigilant monitoring for enterocolitis in pediatric patients with HD.
  • Early recognition and management of obstructive symptoms are crucial for optimal outcomes.
  • Further research into long-term complications and tailored surgical approaches for total colonic HD is warranted.

Keywords:
Hirschsprung diseaseenterocolitispull-through

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