Abstract. ESTOPINAN REBOLLAR, Ramón; ESTOPINAN CANOVAS, Ramón and PILA PELAEZ, Rafael. Enfermedad de Hirschsprung en un adulto. Rev Col. Resumen. LOMBANA, Luis Jorge y DOMINGUEZ, Luis Carlos. Surgery in adult Hirschsprung’s disease. Rev Col Gastroenterol [online]. , vol, n La enfermedad de Hirschsprung es una enfermedad del intestino grueso (colon). Normalmente, las heces fecales son empujadas a través del colon por.
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The first and most important symptom is constipation. No nausea or vomiting. Peritoneal irritation was not found. Wnfermedad cases have been reported in literature. Abdominal X-rays showed a dilated colon occupying abdominal cavity. Fifty per cent of the patients are younger than 30 years of age 3.
Vólvulo en adultos
The absence of ganglion cells results in permanent contraction of the affected segment, preventing the passage of fecal content through that region. Hirschsprung Disease HD or Congenital Megacolon is an anomaly that is characterized mainly for the absence of ganglion cells in the myenteric plexus and submucosal in a variable segment of the intestine.
In addition, it is established that factors related to gender play a role, since enfedmedad are preferentially affected, at a frequency of 4: A full-thickness biopsy was taken from the wall of the rectum, with the following findings: The key finding in barium enema is the existence of a hirachsprung zone “funnel” between distal aganglionic bowel normal or narrow and proximal dilated.
Based on the length of the affected segment, it is classified as: We can conclude that HD is a rare entity in adults and should be suspected in patients with megacolon with a history of constipation refractory to treatment since childhood.
This is an open-access article distributed under the terms of the Creative Commons Attribution License. A year-old male was hirdchsprung in the Emergency Department by generalized abdominal pain accompanied by anorexia of several days duration.
Diagnosis requires imaging and rectal manometry and confirmation by histopathology. A transition zone was appreciated in distal sigmoid colon. In recent years, the Duhamel technique has been considered as the best option. The authors declare that there is no conflict of interest. In this latter case, HD may affect the entire colon and even the small intestine. It is the most frequent cause of the lower neonatal intestinal obstruction.
English pdf Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail. The pathologist’s report showed the existence of ulceration foci with acute inflammation in the submucosa.
Hospital Universitario Virgen Macarena.
The technique hidschsprung as the golden standard for the diagnosis of HD is the absence of ganglion cells in a rectal biopsy specimen. Enfermedad de Hirschsprung del adulto.
Plain films typically show a massive expansion of proximal colon, with a small distal segment. Hirschsprung’s disease as a rare cause of refractory constipation in an adult patient. Symptoms had worsened in recent months, prompting her to seek the evaluation of a proctologist.
The objective of this study is to report a case of late diagnosis hirschspring the disease at age 13, with symptoms of fecal incontinence in its evolution. Serology for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result. Barium enema showing megarectum. It is a rare disease in adulthood, but its diagnosis should be considered in cases of constipation that is refractory to conventional medical therapy.
Peripheral aerial imagery was found in the dilated segment, gas-like wall, which is thickened in this segment. With diagnostic methods already established in the literature, the enfermsdad treatment is surgery. The scientific works include the areas of Clinical, Endoscopic, Surgical, and Pediatric Gastroenterology, along with related disciplines.
Adultoe most important exam to diagnose this disease is the rectal biopsy of the complete stenotic segment, which shows the absence of ganglion cells, nerve hypertrophy presence and incresement of the activity of acetycholinesterase.
Anorectal manometry shows lack of relaxation of internal anal sphincter in response to rectal distension. Fecal incontinence is not typical in adults, unlike children.
Physical examination revealed a mildly distended hirschsprunh and no other relevant alterations.
Several procedures are used to manage this disease after childhood; currently the option of choice is the surgical procedure of Duhamel. Only a small number of cases remain undiagnosed after 5 years of age 2.
In addition, the reported symptoms caused the girl’s parents to begin to justify such a fact as a result of some psychological, rather than organic, disorder. Discussion HD is a congenital anomaly that occurs due to a discontinuation hhirschsprung the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy.
The adults consult for a chronic constipation history, abdominal distension, use of laxatives and enemas since childhood. The frequency of HD at young edges is higher on men, but as the edge grows, it occurs more in women. Frequency of motor alterations detected through manometry The principal aim of the journal is to publish original work in the broad field of Gastroenterology, as well as to provide information on the specialty and related areas that is up-to-date and relevant.
Diagnóstico tardio da doenc¸a de Hirschsprung
Department of General and Adulos Surgery. Hirschsprung disease and hypoganglionosis in adults: Suele diagnosticarse en el periodo neonatal, siendo muy poco frecuente que se descubra en el adulto. J Pediatr Rio de J. Delgado MA Enfermedad de hirschsprung: