International journal of surgery case reports · 2025
Delayed diagnosis and management of adult Hirschsprung's disease: Case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Al Jada Iyad, Jabareen Maaweya, Alhroub Wasef, Iwaiwi Rosol, Zeidan Mohammad, Meshal Thkra
Аннотация
BACKGROUND: Hirschsprung's disease (HD) is a congenital disorder that is primarily diagnosed in infancy. Adult presentations are extremely rare and often result in delayed diagnosis and management challenges.
CASE PRESENTATION: A 27-year-old male with a history of chronic constipation presented with acute bowel obstruction after two weeks of failed stool passage despite repeated enemas. Physical examination revealed abdominal distension and absent bowel sounds. Urgent laparotomy demonstrated significant colonic dilation extending from the rectum to the cecum. A panproctocolectomy with ileostomy was performed, and postoperative biopsy confirmed HD. The patient recovered well and was discharged five days postoperatively.
DISCUSSION: Adult-onset HD is challenging to diagnose due to its atypical presentations. A review of 27 adult cases reveals that chronic constipation and obstruction are common symptoms, underscoring the importance of considering HD in similar presentations to prevent severe complications such as toxic megacolon and volvulus.
CONCLUSION: This case highlights the need for high suspicion of HD in adults with chronic constipation and obstruction. Early diagnosis and intervention can significantly improve outcomes and prevent complications.
CASE PRESENTATION: A 27-year-old male with a history of chronic constipation presented with acute bowel obstruction after two weeks of failed stool passage despite repeated enemas. Physical examination revealed abdominal distension and absent bowel sounds. Urgent laparotomy demonstrated significant colonic dilation extending from the rectum to the cecum. A panproctocolectomy with ileostomy was performed, and postoperative biopsy confirmed HD. The patient recovered well and was discharged five days postoperatively.
DISCUSSION: Adult-onset HD is challenging to diagnose due to its atypical presentations. A review of 27 adult cases reveals that chronic constipation and obstruction are common symptoms, underscoring the importance of considering HD in similar presentations to prevent severe complications such as toxic megacolon and volvulus.
CONCLUSION: This case highlights the need for high suspicion of HD in adults with chronic constipation and obstruction. Early diagnosis and intervention can significantly improve outcomes and prevent complications.