Document Detail


Hirschsprung's disease in adults: report of a case and review of the literature.
MedLine Citation:
PMID:  15940019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hirschsprung's disease in the adult is a rare and frequently misdiagnosed cause of long-standing refractory constipation. We report a case of Hirschsprung's disease in a 23-year-old man and review the literature. The patient had a history of chronic constipation that required daily enemas, since early infancy, but he had remained in good health until intestinal obstruction developed. As a subemergency operation, right transverse colostomy was performed, to relieve the constipation. Histological examination, by a biopsy, showed absence of ganglion cells in the myenteric plexus in the rectum. One year later, Ikeda's modification of the Duhamel procedure was successfully performed as definitive surgery. The postoperative course was uneventful, and complete resolution of the symptoms without complications has been confirmed by a 22-year follow-up. A review of 229 cases of adult Hirschsprung's disease in the literature suggested that the Duhamel procedure is the operation of choice because of the lower postoperative morbidity rate and better functional outcome.
Authors:
Masayuki Miyamoto; Kaku Egami; Shotaro Maeda; Keiichi Ohkawa; Noritake Tanaka; Eiji Uchida; Takashi Tajiri
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of Nippon Medical School = Nippon Ika Daigaku zasshi     Volume:  72     ISSN:  1345-4676     ISO Abbreviation:  J Nippon Med Sch     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-06-07     Completed Date:  2005-06-28     Revised Date:  2012-09-25    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nippon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  113-20     Citation Subset:  IM    
Affiliation:
Department of Surgery, Tama-nagayama Hospital, Nippon Medical School, Tokyo, Japan. miyamons@mvd.biglobe.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Digestive System Surgical Procedures / methods
Hirschsprung Disease / diagnosis,  surgery*
Humans
Male

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