A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma

We present a rare case of a 2-year-old male patient referred for primary evaluation of constipation and ultimately treatment of Hirschsprung disease (HSCR) whose preoperative workup incidentally revealed a posterior paraspinal mass. Following the biopsy of the mass, the patient exhibited hypoventila...

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Main Authors: Shimon Eric Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa Lynn Russell, Emily C. Rutan, Harutyun Haroyan, Yong Wang, Christina Feng, Andrea Badillo, Marc A. Levitt
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2022-01-01
Series:European Journal of Pediatric Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758826
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author Shimon Eric Jacobs
Laura Tiusaba
Elizaveta Bokova
Tamador Al-Shamaileh
Teresa Lynn Russell
Emily C. Rutan
Harutyun Haroyan
Yong Wang
Christina Feng
Andrea Badillo
Marc A. Levitt
author_facet Shimon Eric Jacobs
Laura Tiusaba
Elizaveta Bokova
Tamador Al-Shamaileh
Teresa Lynn Russell
Emily C. Rutan
Harutyun Haroyan
Yong Wang
Christina Feng
Andrea Badillo
Marc A. Levitt
author_sort Shimon Eric Jacobs
collection DOAJ
description We present a rare case of a 2-year-old male patient referred for primary evaluation of constipation and ultimately treatment of Hirschsprung disease (HSCR) whose preoperative workup incidentally revealed a posterior paraspinal mass. Following the biopsy of the mass, the patient exhibited hypoventilation and hypoxia requiring a delayed extubation, raising suspicion for congenital central hypoventilation syndrome (CCHS). We focus on the known history of associations between HSCR and CCHS, in addition to recently found genetic mutations in paired-like homeobox 2B that link HSCR, CCHS, and neuroblastoma.
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spelling doaj.art-5e7f4c96c41a4b74b29e18f82563c2572022-12-22T03:46:48ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272022-01-011001e156e15910.1055/s-0042-1758826A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and NeuroblastomaShimon Eric Jacobs0Laura Tiusaba1Elizaveta Bokova2Tamador Al-Shamaileh3Teresa Lynn Russell4Emily C. Rutan5Harutyun Haroyan6Yong Wang7Christina Feng8Andrea Badillo9Marc A. Levitt10Division of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDepartment of General Surgery, King Hussein Cancer Center, Amman, JordanDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDepartment of Radiology, Children's National Hospital, Washington, District of Columbia, United StatesDepartment of Radiology, Children's National Hospital, Washington, District of Columbia, United StatesDepartment of Pediatric Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesDivision of Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, Washington, District of Columbia, United StatesWe present a rare case of a 2-year-old male patient referred for primary evaluation of constipation and ultimately treatment of Hirschsprung disease (HSCR) whose preoperative workup incidentally revealed a posterior paraspinal mass. Following the biopsy of the mass, the patient exhibited hypoventilation and hypoxia requiring a delayed extubation, raising suspicion for congenital central hypoventilation syndrome (CCHS). We focus on the known history of associations between HSCR and CCHS, in addition to recently found genetic mutations in paired-like homeobox 2B that link HSCR, CCHS, and neuroblastoma.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758826congenital central hypoventilation syndromehirschsprung diseaseneuroblastomahaddad syndromephox2b gene
spellingShingle Shimon Eric Jacobs
Laura Tiusaba
Elizaveta Bokova
Tamador Al-Shamaileh
Teresa Lynn Russell
Emily C. Rutan
Harutyun Haroyan
Yong Wang
Christina Feng
Andrea Badillo
Marc A. Levitt
A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
European Journal of Pediatric Surgery Reports
congenital central hypoventilation syndrome
hirschsprung disease
neuroblastoma
haddad syndrome
phox2b gene
title A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
title_full A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
title_fullStr A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
title_full_unstemmed A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
title_short A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
title_sort deeper curse a hirschsprung patient s evaluation unmasks a rare association with congenital central hypoventilation syndrome and neuroblastoma
topic congenital central hypoventilation syndrome
hirschsprung disease
neuroblastoma
haddad syndrome
phox2b gene
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758826
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