Anorectal malformation combined with Hirschsprung's disease: a case report
Anorectal malformation (ARM) and Hirschsprungs disease (HSCR) are frequently associated with other congenital malformations, but rarely with one another. We describe the case of a child with intermediate anorectal malformation who underwent ARM correction. This child experienced recurrent postoperat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1182342/full |
| _version_ | 1827942025416146944 |
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| author | Jiansen Fan Mingkun Liu Yu Lin Yuanbin He Yifan Fang |
| author_facet | Jiansen Fan Mingkun Liu Yu Lin Yuanbin He Yifan Fang |
| author_sort | Jiansen Fan |
| collection | DOAJ |
| description | Anorectal malformation (ARM) and Hirschsprungs disease (HSCR) are frequently associated with other congenital malformations, but rarely with one another. We describe the case of a child with intermediate anorectal malformation who underwent ARM correction. This child experienced recurrent postoperative symptoms, including intestinal obstruction, nutrition intolerance, and weight loss. The child was diagnosed with Hirschsprung's disease by colon barium contrast and pathological findings from a rectal biopsy, and subsequently underwent pull -through procedure after conservative treatment failed. After six months of postoperative follow-up, the patient still experiences occasional episodes of enteritis, but the symptoms are substantially less severe than they were before surgery, and the patient's weight is slowly increasing. We described a case of a child who had ARM combined with HSCR. Although the association between ARM and HSCR is uncommon, severe constipation or enteritis following complete correction of ARM in the absence of anal stricture should prompt consideration for HSCR. Before the second stage of ARM surgery, pay close attention to the barium enema examination, as an abnormal shape may indicate the presence of HSCR. |
| first_indexed | 2024-03-13T09:52:28Z |
| format | Article |
| id | doaj.art-6062e97d620b48c39af5d509770a5d20 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-13T09:52:28Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-6062e97d620b48c39af5d509770a5d202023-05-24T05:36:02ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-05-011110.3389/fped.2023.11823421182342Anorectal malformation combined with Hirschsprung's disease: a case reportJiansen FanMingkun LiuYu LinYuanbin HeYifan FangAnorectal malformation (ARM) and Hirschsprungs disease (HSCR) are frequently associated with other congenital malformations, but rarely with one another. We describe the case of a child with intermediate anorectal malformation who underwent ARM correction. This child experienced recurrent postoperative symptoms, including intestinal obstruction, nutrition intolerance, and weight loss. The child was diagnosed with Hirschsprung's disease by colon barium contrast and pathological findings from a rectal biopsy, and subsequently underwent pull -through procedure after conservative treatment failed. After six months of postoperative follow-up, the patient still experiences occasional episodes of enteritis, but the symptoms are substantially less severe than they were before surgery, and the patient's weight is slowly increasing. We described a case of a child who had ARM combined with HSCR. Although the association between ARM and HSCR is uncommon, severe constipation or enteritis following complete correction of ARM in the absence of anal stricture should prompt consideration for HSCR. Before the second stage of ARM surgery, pay close attention to the barium enema examination, as an abnormal shape may indicate the presence of HSCR.https://www.frontiersin.org/articles/10.3389/fped.2023.1182342/fullanorectal malformationHirschsprung's diseasebarium enema examinationenterocolitissevere constipation |
| spellingShingle | Jiansen Fan Mingkun Liu Yu Lin Yuanbin He Yifan Fang Anorectal malformation combined with Hirschsprung's disease: a case report Frontiers in Pediatrics anorectal malformation Hirschsprung's disease barium enema examination enterocolitis severe constipation |
| title | Anorectal malformation combined with Hirschsprung's disease: a case report |
| title_full | Anorectal malformation combined with Hirschsprung's disease: a case report |
| title_fullStr | Anorectal malformation combined with Hirschsprung's disease: a case report |
| title_full_unstemmed | Anorectal malformation combined with Hirschsprung's disease: a case report |
| title_short | Anorectal malformation combined with Hirschsprung's disease: a case report |
| title_sort | anorectal malformation combined with hirschsprung s disease a case report |
| topic | anorectal malformation Hirschsprung's disease barium enema examination enterocolitis severe constipation |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1182342/full |
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