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A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management

Hirschsprung’s disease is a rare disease characterized by the complete absence of ganglionic cells in the colon, thereby causing loss of peristalsis movement of the bowel. Most cases are diagnosed before the age of one. Here, we present a case of a newborn baby boy who was not feeding well and then...

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Autores principales: Rajabally, Fatimah, Alkhaldi, Rama, Huang, Helen, Said, Mohammad, Elnakoury, Farah, Avanthika, Chaithanya, Abdool, Fouad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918881/
https://www.ncbi.nlm.nih.gov/pubmed/36788844
http://dx.doi.org/10.7759/cureus.33680
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author Rajabally, Fatimah
Alkhaldi, Rama
Huang, Helen
Said, Mohammad
Elnakoury, Farah
Avanthika, Chaithanya
Abdool, Fouad
author_facet Rajabally, Fatimah
Alkhaldi, Rama
Huang, Helen
Said, Mohammad
Elnakoury, Farah
Avanthika, Chaithanya
Abdool, Fouad
author_sort Rajabally, Fatimah
collection PubMed
description Hirschsprung’s disease is a rare disease characterized by the complete absence of ganglionic cells in the colon, thereby causing loss of peristalsis movement of the bowel. Most cases are diagnosed before the age of one. Here, we present a case of a newborn baby boy who was not feeding well and then developed a distended abdomen and began bilious vomiting. Blood mucoid stools were also observed. The diagnosis of Hirschsprung’s disease was confirmed through a full-thickness rectal biopsy, and the Duhamel surgical procedure was performed as a course of treatment all within the first few days of birth. No complications were reported, and the baby was safely discharged after seven days. This case demonstrates the importance of timely treatment after prompt diagnosis due to the early recognition of the severe symptoms. Even though this disease is rare, pediatricians should be trained to recognize and treat the child to prevent further detrimental outcomes.
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spelling pubmed-99188812023-02-13 A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management Rajabally, Fatimah Alkhaldi, Rama Huang, Helen Said, Mohammad Elnakoury, Farah Avanthika, Chaithanya Abdool, Fouad Cureus Pediatrics Hirschsprung’s disease is a rare disease characterized by the complete absence of ganglionic cells in the colon, thereby causing loss of peristalsis movement of the bowel. Most cases are diagnosed before the age of one. Here, we present a case of a newborn baby boy who was not feeding well and then developed a distended abdomen and began bilious vomiting. Blood mucoid stools were also observed. The diagnosis of Hirschsprung’s disease was confirmed through a full-thickness rectal biopsy, and the Duhamel surgical procedure was performed as a course of treatment all within the first few days of birth. No complications were reported, and the baby was safely discharged after seven days. This case demonstrates the importance of timely treatment after prompt diagnosis due to the early recognition of the severe symptoms. Even though this disease is rare, pediatricians should be trained to recognize and treat the child to prevent further detrimental outcomes. Cureus 2023-01-12 /pmc/articles/PMC9918881/ /pubmed/36788844 http://dx.doi.org/10.7759/cureus.33680 Text en Copyright © 2023, Rajabally et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Rajabally, Fatimah
Alkhaldi, Rama
Huang, Helen
Said, Mohammad
Elnakoury, Farah
Avanthika, Chaithanya
Abdool, Fouad
A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title_full A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title_fullStr A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title_full_unstemmed A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title_short A Case Report of Hirschsprung’s Disease in a Neonate: Early Detection and Review of Management
title_sort case report of hirschsprung’s disease in a neonate: early detection and review of management
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918881/
https://www.ncbi.nlm.nih.gov/pubmed/36788844
http://dx.doi.org/10.7759/cureus.33680
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