Intestinal Atresia With Hirschsprung’s Disease: A Rare Case Report

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  • Fujiogi Michimasa
    Department of Pediatric Surgery, Saitama Children’s Medical Center Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo
  • Tanaka Yujiro
    Department of Pediatric Surgery, Saitama Children’s Medical Center Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Kawashima Hiroshi
    Department of Pediatric Surgery, Saitama Children’s Medical Center
  • Deie Kyoichi
    Department of Pediatric Surgery, Saitama Children’s Medical Center Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo
  • Suzuki Keisuke
    Department of Pediatric Surgery, Saitama Children’s Medical Center
  • Amano Hizuru
    Department of Pediatric Surgery, Saitama Children’s Medical Center Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo
  • Morita Kaori
    Department of Pediatric Surgery, Saitama Children’s Medical Center

Bibliographic Information

Other Title
  • 小腸閉鎖症とHirschsprung病が合併した1例
  • 症例報告 小腸閉鎖症とHirschsprung病が合併した1例
  • ショウレイ ホウコク ショウチョウ ヘイサショウ ト Hirschsprungビョウ ガ ガッペイ シタ 1レイ

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Abstract

<p>A rare case of congenital intestinal atresia associated with Hirschsprung’s disease was described. A 0-day-old boy who was diagnosed as having small bowel atresia underwent intestinal resection with anastomosis. Postoperatively, he showed poor sucking of milk and abdominal distention. However, he soon recovered by enema and was discharged. In his one-month follow-up as an outpatient, he showed abdominal distention, and abdominal X-ray revealed dilation of the colon. Therefore, contrast enema was scheduled. However, before the examination, he required emergent hospitalization because of high fever due to enterocolitis. Then, he was diagnosed as having Hirschsprung’s disease on the basis of the findings of contrast enema and histopathological examination of rectal mucosa. At the age of four months, laparoscopy-assisted pull-through was performed and he had an uneventful postoperative course.</p>

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