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Case Reports
. 2022 Mar 28:76:103512.
doi: 10.1016/j.amsu.2022.103512. eCollection 2022 Apr.

Adult Hirschprung's disease diagnosed postoperatively: A case report

Rami Anadani  1 , Abdallah Aladna  1 , Sura Radwan  1 , Zainab Zeino  1 , Farah Albakkar  1 , Ahmad Aljaber  2 , Nihad Mahli  2
Affiliations
Case Reports

Adult Hirschprung's disease diagnosed postoperatively: A case report

Rami Anadani et al. Ann Med Surg (Lond). .

Abstract

Background: Hirschprung's Disease (HD) is a congenital disease where the ganglion cells that innervate the colon fail to migrate. Most cases are diagnosed during childhood, however, in rare cases it can go unnoticed until adulthood.

Case presentation: We present a case of a 40-year-old-man who had been managing his chronic constipation with an atypical diet, until he was diagnosed with HD following an emergent abdominal surgery due to unresolved constipation. His diagnosis was delayed mainly out of fear of medical procedures. The surgery was later complicated and followed by a second and a final third and definitive surgery, suitable for the diagnosis of HD.

Conclusion: HD should be included in the differential diagnosis of constipation even in this age. Also, patient awareness should be increased to ensure better quality of life.

Keywords: Aganglionosis; Colon diseases; Colonic surgery; Constipation; Hirschprung's.

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Conflict of interest statement

We declare that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
Abdominal XRayShowing air-fluid levels.
See this image and copyright information in PMC

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