Hirschprung's disease in adults.

نویسندگان

  • C Fortea-Sanchís
  • D Martínez-Ramos
  • I Rivadulla-Serrano
  • J M Daroca-José
  • G Paiva-Coronel
  • J L Salvador-Sanchís
چکیده

A 19-year-old man came to the emergency room because of diarrhea of 4 weeks duration, accompanied by constipation. As background, he reported fecal incontinence with encopresis since he was 12 year-old, initially ascribed to a child psychiatric disorder. Physical examination revealed an important thinness (BMI 18,51 kg/m) and a large mass in the left abdomen, of hard consistency, mobile, and painless. Abdomen X-ray examination showed large dilatation of descending colon, with distal air. Computed tomography (Fig. 1) disclosed a highly dilated sigmoid colon containing feces inside; the distal portion of the rectum was normal. These radiological images were consistent with Hirschsprung’s disease; for this reason, we extracted surgically the fecal mass through the anus. After that, the palpable mass disappeared, but clinical constipation persisted. Later, a barium enema (Fig. 2) was carried out and results were compatible with that disease. Hirschprung’s disease in adults

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عنوان ژورنال:
  • Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

دوره 103 3  شماره 

صفحات  -

تاریخ انتشار 2011