HIRSCHSPRUNG’S DISEASE IN AN ADULT: A CASE REPORT
*Shitta AH, Ugwu BT, Peter SD, Ozoilo KN, Adighije PF, Omolabake BI
Department of Surgery,
Jos University Teaching Hospital, Jos,
Plateau State, Nigeria.
E-mail:shittosis@yahoo.co.uk
*Correspondence
Grant support: None
Conflict of interest: None
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Background: Hirschsprung’s disease in the adolescents and adults is not a common diagnosis in our environment. However this may be as a result of misdiagnosis or late presentation as is the case with other causes of recurrent constipation in older age groups. We present a case of a 19-year old male who presented with recurrent episodes of constipation from infancy with none requiring any intervention except for the index presentation that lasted for 3 weeks with associated progressive abdominal distension. Diagnosis was made with a barium enema and full thickness rectal biopsy. He had staged procedures with an initial divided colostomy thereafter followed by a definitive Souave endorectal pull-through with a good short-term outcome.
Key words: Adult Hirschsprung’s disease, Recurrent constipation, Staged surgical procedures, Good outcome.
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