ENFERMEDAD DE HIRSCHSPRUNG DIAGNOSTICO PDF

Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .

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Enfermedad de Chagas en el diagnóstico diferencial del megacolon

J Pediatr Rio de J. Serology for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result. World J Surg 15 Dis Colon Rectum ; The CHD has three phases: Informe de um caso.

Duhamel-Haddad Procedure is also a good option. This disorder is uncommon in adolescence and in adulthood and when present in this age group, it shows up as an ultrashort-segment disease.

The objective of this study is to report a case of late diagnosis of the disease at age 13, with hiirschsprung of fecal incontinence in its evolution. Most patients with CHD have some type of heart disease, so they tend to be high risk for surgery 6. The blood test with tumor markers was normal and an abdominal CT objectived fecal and recto-sigmoid colon dilation Fig.

Enfermedad de Hirschsprung (para Padres)

Surgical treatment of Chagasic Megacolon: Imaging studies such as computed tomography CT and barium enemas are usually accepted for evaluation of chronic constipation, which is a common disorder in adults. Gynecological pathology was ruled out and was done Rx abdomen showing abundant diagnostio material. Conservative treatment is reserved for patients oligosymptomatic or with surgical contraindications 5.

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Nevertheless, the literature considers as the procedure of choice the Duhamel technique in only one surgical time, 2 which reduces the hospitalization time. This clinical course is atypical; in the literature review, only three similar cases were related in enfermead with Hirschsprung disease.

The diagnosis of HD is supported by barium enema studies, anorectal manometry and rectal biopsy. Complaints of fecal incontinence are often reported in the literature in cases of functional constipation and of idiopathic megacolon.

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HD occurs in approximately 1 in live births. Discussion HD is a congenital anomaly that occurs due to a discontinuation of the cranial-caudal migration of neural crest cells, which are responsible for innervation of the colon, or when the ganglion cells undergo premature death between 5th and 12th weeks of pregnancy. Our patient had a history of long-standing bowel constipation, progressing to fecal incontinence.

Rev Esp Enferm Dig ; Some cases involve gene mutations for endothelin-B receptor. Discussion Megacolon is an abnormal dilation of the colon that can be caused by several factors: Introduction Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion cells in the myenteric and submucosal plexuses in a variable bowel segment.

Enterocolitis, constipation and fecal incontinence represent the main postoperative complications in children. Recurrrrence of chagasic megacolon after surgical treatment: Dis Colon Rectum ;46 11 Principles and practice of surgery for the colon, rectum and anus. The diagnosis depends on the stage of the disease and treatment is applicable only in the acute phase. During admission the patient was interrogated again and in her family history stands out the death of his mother for cardiac disease at the age of Hirschsprung’s disease; Congenital megacolon; Fecal incontinence.

Hirschsprung’s Disease HDalso known as congenital aganglionic megacolon, is an anomaly characterized by an absence of ganglion diavnostico in the myenteric and submucosal plexuses in a variable bowel segment. Currently the two most accepted are the Duhamel-Haddad technique 6,7which takes place two times and has the disadvantage of carrying a temporary perineal colostomy. Female patient, hirscchsprung years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.

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The girl refers onset of fecal incontinence at the age of Enfermedad de Hirschsprung en el adulto. In this latter case, HD may affect the entire colon and even the small intestine. Critical analysis of outcome in operative methods.

On examination, she presented lower abdominal discomfort with feeling lower abdominal mass. Case report We report enferjedad case of a patient 41 years old, from Argentina, who went to the emergency room with abdominal pain and constipation.

Enfermedad de Hirschsprung

Surgical treatment of Chagas megacolon. Several procedures are used to manage this disease after childhood; currently the option of choice is the surgical procedure of Duhamel. Some patients reach adulthood without a diagnosis for this disease.

Clinical case Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.