Delayed presentation of preterm Hirschsprung's disease

Abstract

Hirschsprung's disease (HD) in a very low birth weight, preterm infant is a rare occurrence. We present a case of a baby born at 29 weeks gestation, who after stooling normally for several weeks, developed a large bowel obstruction on day of life (DOL) 34. The patient underwent surgical resection of an abnormal span of sigmoid colon and creation of a colostomy. The patient did well post-operatively, had early ostomy function on post operative day (POD) 2, and was discharged home. He returned for a laparoscopic-assisted completion proctectomy and Soave endorectal pull-through. He was discharged home on POD4. He continues to do well.