Imaging clinical case

Authors

  • Catarina Cristina Department of Pediatrics, Unidade de Portimão, Centro Hospitalar Universitário do Algarve
  • Inês Serras Department of Pediatrics, Unidade de Portimão, Centro Hospitalar Universitário do Algarve
  • Ema Santos Department of Pediatrics Surgery, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central
  • Rui Alves Department of Pediatrics Surgery, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central
  • Dulce Serrano Department of Pediatrics, Unidade de Portimão, Centro Hospitalar Universitário do Algarve

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v30.i1.18956

Keywords:

contrast enema, Hirschsprung disease, intestinal obstruction, Contrast enema; Hirschsprung Disease; Intestinal obstruction; Meconium.

Abstract

Hirschsprung disease is the most common congenital gut motility disorder and usually diagnosed in the neonatal period. It is caused by an aganglionic bowel segment resulting in absence of intestinal peristalsis and functional obstruction. Diagnosis should be considered in all patients with constipation that does not respond to conventional treatment. Radiography and contrast enema are important diagnostic exams, but the definitive diagnosis is established through histochemical analysis of aganglionic segment biopsy. Treatment is surgical and early recognition is important to avoid complications and improve prognosis.

Herein is reported the clinical case of a young infant presenting to the Pediatric Emergency Department with nausea, vomiting, constipation, refusal to feed, and important abdominal distension. Abdominal radiograph and contrast enema were compatible with Hirschsprung disease. Biopsy histochemical analysis confirmed the diagnosis and surgical treatment was performed.

References

Nunes I. Doença de Hirschsprung. Trabalho Final do Mestrado Integrado em Medicina. Faculdade de Medicina de Lisboa. 2015/2016.

Langer J. Hirchsprung Disease. Curr Opin Pediatr. 2013; 25:368-74.

Wetherill C, Sutcliffe J. Hirchsprung Disease and anorectal malformation. Early Human Development. 2014; 90:927-32.

Romaneli M, Ribeiro A, Bustorff-Silva J, Carvalho R, Lomazi E. Hirchsprung disease – Postsurgical intestinal dysmotality. Rev Paul Pediatr. 2016; 34:388-92.

Wesson D, Lopez M. Congenital aganglionic megacolon (Hirchsprung Disease). Singer J, Hoppin A (editor). UptoDate 2018. [Consulted in August 2019]. Available in: https://www.uptodate.com/contents/congenital-aganglionic-megacolon-hirschsprung-disease.

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Published

2021-04-06

How to Cite

Cristina, C., Serras, I., Santos, E., Alves, R., & Serrano, D. (2021). Imaging clinical case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 30(1), 64–66. https://doi.org/10.25753/BirthGrowthMJ.v30.i1.18956

Issue

Section

Imaging Cases