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Acute presentation of short‑segment Hirschsprung's disease treated with Soave's procedure in a 20‑year‑old male: A case report and mini‑review of the literature

  • Authors:
    • Guillermo Gallardo Chavarría
    • Raymundo Alfonso Muñoz Cabello
    • Irene Lizeth Zambrano Loya
    • Aarón Alberto Ramírez Torres
    • Ernesto Ramos Martinez
  • View Affiliations

  • Published online on: November 12, 2024     https://doi.org/10.3892/mi.2024.203
  • Article Number: 4
  • Copyright : © Gallardo Chavarría et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

Hirschsprung's disease is a congenital disorder that affects the motility of the colon. It is caused by the absence of ganglion cells in the large intestinal plexuses. Although uncommon, Hirschsprung's disease can be diagnosed until adulthood. In such cases, this is often due to a history of episodes of chronic constipation since childhood, with the majority of these being misdiagnosed and inadequately treated. The present study describes the case of a 20‑year‑old male patient, with a history of chronic constipation since childhood managed conservatively. Following acute intestinal obstruction, he required an emergency laparotomy with intestinal resection and colostomy. The histopathological analysis revealed aganglionosis in the sigmoid colon, confirming Hirschsprung's disease. Definitive treatment was subsequently decided with Soave‑type surgery, with excellent results obtained in subsequent follow‑up sessions. In addition, the present study also provides a mini‑review of the literature; several similar reports were identified upon searching the literature using the PubMed database. Overall, the present study demonstrates that adults with chronic constipation refractory to treatment should be considered susceptible to the diagnosis of this disease.
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January-February 2025
Volume 5 Issue 1

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Spandidos Publications style
Gallardo Chavarría G, Muñoz Cabello RA, Zambrano Loya IL, Ramírez Torres AA and Ramos Martinez E: Acute presentation of short‑segment Hirschsprung's disease treated with Soave's procedure in a 20‑year‑old male: A case report and mini‑review of the literature. Med Int 5: 4, 2025.
APA
Gallardo Chavarría, G., Muñoz Cabello, R.A., Zambrano Loya, I.L., Ramírez Torres, A.A., & Ramos Martinez, E. (2025). Acute presentation of short‑segment Hirschsprung's disease treated with Soave's procedure in a 20‑year‑old male: A case report and mini‑review of the literature. Medicine International, 5, 4. https://doi.org/10.3892/mi.2024.203
MLA
Gallardo Chavarría, G., Muñoz Cabello, R. A., Zambrano Loya, I. L., Ramírez Torres, A. A., Ramos Martinez, E."Acute presentation of short‑segment Hirschsprung's disease treated with Soave's procedure in a 20‑year‑old male: A case report and mini‑review of the literature". Medicine International 5.1 (2025): 4.
Chicago
Gallardo Chavarría, G., Muñoz Cabello, R. A., Zambrano Loya, I. L., Ramírez Torres, A. A., Ramos Martinez, E."Acute presentation of short‑segment Hirschsprung's disease treated with Soave's procedure in a 20‑year‑old male: A case report and mini‑review of the literature". Medicine International 5, no. 1 (2025): 4. https://doi.org/10.3892/mi.2024.203