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Hirschsprung's enterocolitis

Watts MW - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hirschsprung's enterocolitis

History: 5 day old male who presented with jaundice and decreased stooling. Past medical History significant for scant stool at 43 hours of life.

Findings: Numerous dilated tubular loops of bowel with no air in the rectum on plain films. There is a normal rectosigmoid juction with abnormal mucosal irregularity present with enema.

Ddx: A differential for this patient include causes for distal obstruction in a neonate. Some of these include: • Imperforate anus • Anal atresia • Intestinal atresia • Small left colon syndrome • Meconium plug syndrome • Meconium ilieus • Intestinal malrotation

Dxhow: The diagnosis was confirmed with tissue biopsy showing lack of ganglion cells in the distal bowel and the presence of the ganglion cells in the proximal bowel.

No MeSH data available.


This image demonstrates a normal rectosigmoid ratio of greater than 1.
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MPX2447_synpic46942: This image demonstrates a normal rectosigmoid ratio of greater than 1.


Hirschsprung's enterocolitis

Watts MW - MedPix (2009)

This image demonstrates a normal rectosigmoid ratio of greater than 1.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2447&req=5

MPX2447_synpic46942: This image demonstrates a normal rectosigmoid ratio of greater than 1.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hirschsprung's enterocolitis

History: 5 day old male who presented with jaundice and decreased stooling. Past medical History significant for scant stool at 43 hours of life.

Findings: Numerous dilated tubular loops of bowel with no air in the rectum on plain films. There is a normal rectosigmoid juction with abnormal mucosal irregularity present with enema.

Ddx: A differential for this patient include causes for distal obstruction in a neonate. Some of these include: • Imperforate anus • Anal atresia • Intestinal atresia • Small left colon syndrome • Meconium plug syndrome • Meconium ilieus • Intestinal malrotation

Dxhow: The diagnosis was confirmed with tissue biopsy showing lack of ganglion cells in the distal bowel and the presence of the ganglion cells in the proximal bowel.

No MeSH data available.