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- Title
Colonic atresia and hirschsprung disease: a case report and review of the literature.
- Authors
Ladan, Amirhossein; Mahdian Jouybari, Reza; Zareh Akbari, Mahnaz; Moharrami Yeganeh, Pegah
- Abstract
Background: Colon atresia is one of the rarest congenital anomalies of the gastrointestinal tract, with an incident range of between 1 in 10,000 and 66,000 live births. Type I colonic atresia affects only the mucosal layer of the intestine and spares the intestinal wall and mesentery. Hirschsprung Disease is a rare association of Colon atresia and is usually diagnosed as a complication of atresia treatment. Case presentation: This study reports a 14-h term white middle-eastern female infant with type I transverse colonic atresia complicated by the association of Hirschsprung disease and provides a brief literature review of the topic. She presented with poor feeding, weakness, and failure to pass meconium, and her abdominal X-ray showed complete distal bowel obstruction. The presence of Hirschsprung disease was realized after complications of atresia surgery. The infant underwent a total of three surgeries involving an end-to-end anastomosis of the atresia, colostomy formation following anastomosis leakage, and Hirschsprung surgery. The patient ultimately expired. Conclusions: The association between colonic atresia and Hirschsprung disease poses a diagnostic and therapeutic challenge. Considering Hirschsprung disease as a possible association in colon atresia patients can facilitate proper decision-making in the course of treating colon atresia cases and achieving better outcomes.
- Subjects
HIRSCHSPRUNG'S disease; LITERATURE reviews; HUMAN abnormalities; MECONIUM aspiration syndrome; SURGICAL complications; GASTROINTESTINAL system
- Publication
Journal of Medical Case Reports, 2023, Vol 17, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/s13256-023-03969-z