Hirschsprung's disease: Difference between revisions

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Revision as of 03:17, 12 July 2016


  • Congenital aganglionosis of colon
    • Usually rectosigmoid area
      • Short segment affects rectum and small amount of distal colon
      • Long segment affects more of colon, proximal intestine
    • Rarely involves more proximal intestine
  • 30% associated with a syndrome
  • 1:5,000 live births

Clinical Features

Differential Diagnosis

Infant Constipation


  • KUB distended colon, empty rectum
    • Enterocolitis: distention, bowel wall thickening
    • Obstruction: air fluid levels
  • Diagnosis requires rectal biopsy (consult GI)


  • Consult pediatric surgeon for operative management
  • Treat enterocolitis with broad spectrum antibiotics


  • Admit if symptoms of obstruction, enterocolitis

See Also

External Links