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Bowel perforation in Hirschsprung's disease

B Newman, A Nussbaum, J A Kirkpatrick

    AJR. American Journal of Roentgenology
    |June 1, 1987
    PubMed

    Insights

    Hirschsprung's disease can cause bowel perforation in infants, especially those under 4 months. Early diagnosis is crucial, as perforation often occurs in the aganglionic bowel segment.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Hirschsprung's disease is a congenital condition affecting the large intestine.
    • Bowel perforation is a rare but serious complication in infants with Hirschsprung's disease.

    Purpose of the Study:

    • To review the incidence and characteristics of bowel perforation in infants with Hirschsprung's disease.
    • To identify risk factors and common sites of perforation.

    Main Methods:

    • Retrospective review of medical records for 45 infants with Hirschsprung's disease.
    • Literature survey to analyze existing data on bowel perforation in this population.

    Main Results:

    • Two infants (4.4%) presented with bowel perforation.
    • Infants under 4 months were at highest risk.
    • Perforation commonly occurred in long-segment or total colonic disease, often within the aganglionic bowel.

    Conclusions:

    • Hirschsprung's disease should be considered in infants with pneumoperitoneum and distal bowel perforation.
    • Timely diagnosis and management are critical for infants at risk.

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