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Chronic constipation and abdominal distension in a patient with adult Hirschprung’s disease and bilateral ovarian teratomas

Jessica Vo*, Raymond Hayler, Alex Tyler, Kurt Verschuer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Hirschprung’s disease is a congenital disorder characterized by aganglionic bowel, usually diagnosed in infancy. Here, we present a unique case of Hirschprung’s disease diagnosed in a 29-year-old female with acute on chronic constipation. As part of her work up, a computerized tomography of her abdomen and pelvis revealed large, bilateral dermoid cysts. A diagnostic and therapeutic colonoscopy allowed manual disimpaction and decompression of her bowel, as well as biopsy attainment. Histopathology revealed absence of ganglionic cells on haematoxylin and eosin stain and calretinin immunostaining. This case underscores the diagnostic challenges of Adult Hirschprung’s disease and how this impacts patient quality of life, as well as the work up and management of concurrent causes abdominopelvic conditions.

Original languageEnglish
Article numberrjae227
Pages (from-to)1-3
Number of pages3
JournalJournal of Surgical Case Reports
Volume2024
Issue number4
DOIs
Publication statusPublished - 1 Apr 2024

Bibliographical note

Copyright the Author(s) 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • dermoid cysts
  • Hirschprung’s disease
  • surgery

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