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Date of Award
Spring 2023
Degree Name
Master of Medical Science (Physician Assistant)
Department
Physician Assistant; College of Health Sciences
First Advisor
Zachary Weik
Abstract
ABSTRACT
Hirschsprung’s disease can present, rarely, with the aganglionic bowel being confined to an ultrashort-segment within the rectum. This is a case of a neonatal male who presented 1 day post birth with symptoms concerning for Hirschsprung’s disease, which was later confirmed as ultrashort-segment. Symptomatic bowel function spontaneously and periodically improved, which allowed for delays in surgery as a benefit to the patient. Approximately 4 weeks after birth, a laparoscopically assisted endorectal pull through bowel resection using the Swenson method was performed. Bowel was resected from the rectum at the level of the pelvic floor up to the rectosigmoid junction, which ends were then directly anastomosed. After 3 days of recovery and a return of spontaneous bowel function, the patient was discharged from the hospital. The bowel function persisted through the 1 week and 3 month follow up appointments, suggesting a promising outlook.
Recommended Citation
Montgomery, Blake, "A case of ultrashort-segment Hirschsprung's disease in a neonate" (2023). Capstone Showcase. 69.
https://scholarworks.arcadia.edu/showcase/2023/pa/69
A case of ultrashort-segment Hirschsprung's disease in a neonate
ABSTRACT
Hirschsprung’s disease can present, rarely, with the aganglionic bowel being confined to an ultrashort-segment within the rectum. This is a case of a neonatal male who presented 1 day post birth with symptoms concerning for Hirschsprung’s disease, which was later confirmed as ultrashort-segment. Symptomatic bowel function spontaneously and periodically improved, which allowed for delays in surgery as a benefit to the patient. Approximately 4 weeks after birth, a laparoscopically assisted endorectal pull through bowel resection using the Swenson method was performed. Bowel was resected from the rectum at the level of the pelvic floor up to the rectosigmoid junction, which ends were then directly anastomosed. After 3 days of recovery and a return of spontaneous bowel function, the patient was discharged from the hospital. The bowel function persisted through the 1 week and 3 month follow up appointments, suggesting a promising outlook.