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Adult Hirschsprung's disease
H M Kocher1, S V Pandya, O S Rohandia
1Department of Gastroenterology, Surgical Sciences, Gastroenterology and Pathology, Seth G S Medical College, Parel, Bombay.
Summary
Hirschsprung
Area of Science:
- Gastroenterology and Pediatric Surgery
Background:
- Hirschsprung's disease is a congenital disorder typically diagnosed in infancy.
- Adult-onset Hirschsprung's disease is exceptionally rare, presenting diagnostic challenges.
Observation:
- A 35-year-old woman presented with symptoms suggestive of a functional bowel obstruction.
- Manometric studies revealed a complete absence of the anorectal inhibitory reflex.
Findings:
- The diagnostic findings confirmed Hirschsprung's disease in adulthood.
- Absence of the anorectal inhibitory reflex is a key manometric indicator.
Implications:
- This case highlights the importance of considering Hirschsprung's disease in adults with chronic constipation.
- Early diagnosis and appropriate management are crucial for improving outcomes in adult patients.