Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease

Abstract

We present a case of a 14-year-old boy with chronic distension, poor growth, and chronic constipation. He undergoes anorectal manometry and rectal biopsy, confirming the diagnosis of Hirschsprung disease (HD). The case is presented with a key image and associated questions to prompt discussion on strategies for management and treatment of HD in late-diagnosed children.

Keywords

• hirschsprung disease
• chronic distension
• colonic dysmotility
• chronic constipation
• pull-through