Pediatr. praxi. 2009;10(4):272-273

Hirschsprung´s disease as a cause of chronic obstipation

prof. MUDr. Vladimír Mihál CSc¹, MUDr. Kamila Michálková², MUDr. Tomáš Malý Ph.D³, MUDr. Patrik Flodr⁴, MUDr. Eva Karásková¹

¹ Dětská klinika LF UP a FN Olomouc

² Radiologická klinika LF UP a FN, Olomouc

³ I. chirurgická klinika LF UP a FN Olomouc

⁴ Ústav patologie FN a LF UP Olomouc

The authors present a 9-year-old patient with persistent constipation, abdominal distension, pain and intermittent vomiting, who was

admitted to the hospital because of progress of fecaloma in the left meso-hypogastrium. Anorectal manometric study showed the

absence of internal anal sphincter relaxation and contrast enema radiographs has confirmed extreme proximal sigmoideum and colon

descendens dilatation. Swenson´s operation with left hemicolectomy and coloanal anastomosis side-to-end was performed. Intraoperative

histological examination of resected bowel verified diagnosis of Hirschsprung´s disease.

Keywords: Hirschsprung´s disease, chronic constipation, late manifestation.

Published: October 1, 2009  Show citation