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:
- 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].
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
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.
