A case of Hirschsprung's disease underwent surgery in adulthood

Richi Nakatake; Yoshinori Hamada; Hirokazu Miki; Takeshi Shirai; Yusuke Nakamura; Hiroshi Hamada; Morihiko Ishizaki; Masanori Kon

doi:10.1016/j.epsc.2016.07.005

Journal of Pediatric Surgery Case Reports (Oct 2016)

A case of Hirschsprung's disease underwent surgery in adulthood

Richi Nakatake,
Yoshinori Hamada,
Hirokazu Miki,
Takeshi Shirai,
Yusuke Nakamura,
Hiroshi Hamada,
Morihiko Ishizaki,
Masanori Kon

Affiliations

Richi Nakatake: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Yoshinori Hamada: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Hirokazu Miki: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Takeshi Shirai: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Yusuke Nakamura: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Hiroshi Hamada: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Morihiko Ishizaki: Division of Pediatric Surgery, Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan
Masanori Kon: Department of Surgery, Kansai Medical University, 2-5-1, Hirakata, Osaka 573-1191, Japan

DOI: https://doi.org/10.1016/j.epsc.2016.07.005
Journal volume & issue: Vol. 13, no. C
pp. 1 – 5

Abstract

Read online

Adult Hirschsprung's disease is a rare motor disorder of the gut that is frequently misdiagnosed as refractory constipation. We describe a 30-year-old patient with adult Hirschsprung's disease with a history of chronic constipation requiring daily enema. Barium enema and rectal biopsy showed short segment-type Hirschsprung's disease with a grossly distended sigmoid colon with fecal retention. Staged operations, including the Duhamel-GIA method as a definitive surgery, completely resolved the patient's symptoms. There were no complications by the end of a 7-year follow-up. Adult Hirschsprung's disease should be considered in the differential diagnosis of cases where adult patients present with chronic constipation. Despite technical difficulty of the modified Duhamel-GIA procedure due to chronic fibrous changes of the rectum, it is a feasible surgical option for treating cases of adult Hirschsprung's disease.

Published in Journal of Pediatric Surgery Case Reports

ISSN: 2213-5766 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Pediatrics; Medicine: Surgery
Website: https://www.journals.elsevier.com/journal-of-pediatric-surgery-case-reports/

About the journal

Abstract

Keywords