title: Hirschsprung disease with debut in adult age as acute intestinal obstruction: case report.
abstract: Hirschsprung's disease is characterized by absence of ganglion cells in submucosal and myenteric plexus of distal bowel. Most cases become manifest during the neonatal period, but in rare instances, this disease is initially diagnosed in adult age. It usually presents as severe constipation with colonic dilatation proximal to the aganglionic segment. The treatment is surgical, removing the aganglionic segment and restoring continuity of digestive tract. The disease rarely presents as an acute intestinal obstruction. We report a case not previously diagnosed, which presented as a massive colonic dilatation with a maximum diameter of 44 cm, with imminent risk of drilling that forced to perform an emergency surgery. We include a review of existing literature.
authors: Cirugía General y del Aparato Digestivo, HU Virgen Macarena, España.
authors: José Antonio
authors: JA
authors: López Ruiz
authors: UGC Cirugía General y Aparato Digestivo, H. U. Virgen Macarena, España.
authors: Luis
authors: L
authors: Tallón Aguilar
authors: UGC Cirugía General y Aparato Digestivo, H.U. Virgen Macarena, España.
authors: Laura
authors: L
authors: Sánchez Moreno
authors: UGC Cirugía General y Aparato Digestivo, H. U. Virgen Macarena, España.
authors: José
authors: J
authors: López Pérez
authors: UGC Cirugía General y Aparato Digestivo, H. U. Virgen del Rocío, España.
authors: Felipe
authors: F
authors: Pareja Ciuró
authors: UGC Cirugía General y Aparato Digestivo, H. U. Virgen Macarena, España.
authors: Fernando
authors: F
authors: Oliva Mompeán
authors: Unidad de Trasplante Hepático, Hospital Universitario Virgen del Rocío, ESPAÑA.
authors: F Javier
authors: FJ
authors: Padillo Ruiz
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology; D006627:Hirschsprung Disease / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008875:Middle Aged