Hirschsprung Diseases should be Treated by Single or Two Stage Operations? A Case Report in a Resource-Low Setting in Cameroon
Journal: Medical Journal of Clinical Trials & Case Studies (Vol.1, No. 4)Publication Date: 2017-11-30
Authors : Dongmo Gael Mouafo Tambo Faustin Felicien Ngowe Ngowe Marcelin Paul Nkemtedong Tolefac Ngo Nonga Bernadette; Ze Minkande Jacqueline;
Page : 1-4
Keywords : Hirsch sprung Disease; Diagnosis; Trans-Anal Pull-Through; Treatment and YGOPH; rectosigmoid;
Abstract
Background: Hirschsprung disease is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Hirsch sprung disease is common in the paediatric age group (neonatal period). They represent worldwide 1/1500-1/7000 new-born. The male: female ratio is 4:1. Case Report: We report the case of Hirsch sprung diseases diagnosed in a one month old neonate who presented with abdominal distension and recurrent constipation since birth. The past history was relevant for delay emission of meconium. A rectosigmoid contrast enema transition zone was observed and a diagnosis of hirschsprung disease was made. The patient was treated through asingle stage operation, trans-anal pull throughin YGOPH. Conclusion: Accurate reporting and creation of registry and data bases are important measures to curb the mortality and morbidity associated with this paediatric surgical condition
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