Case Reports in Pediatrics (Jan 2018)

Untreated Congenital Hypothyroidism Mimicking Hirschsprung Disease: A Puzzling Case in a One-Year-Old Child

  • Soraia Tahan,
  • Adriana Aparecida Siviero-Miachon,
  • Maria de Fatima de Faria Soares,
  • Elaine Cristina Soares Martins-Moura,
  • Fabio Luis Peterlini,
  • Mauro Batista de Morais,
  • Angela Maria Spinola-Castro

DOI
https://doi.org/10.1155/2018/9209873
Journal volume & issue
Vol. 2018

Abstract

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Congenital hypothyroidism is a clinical emergency due to its potential risk of mental retardation. Constipation might be present in hypothyroid children. However, Hirschsprung disease is rarely associated with congenital hypothyroidism. Herein, a case of congenital hypothyroidism in a one-year-old child mimicking Hirschsprung disease is described. Adequate treatment with levothyroxine sodium tablets controlled intestinal dysmotility that mimicked congenital intestinal aganglionosis due to the critical influence of thyroid hormones on bowel motility.