Image of the Month: Enterocolitis Following a Pull-through for Total Colonic Hirschsprung Disease in a 2-Year-Old Boy

Anisha Apte; Elise McKenna; Marc A. Levitt

doi:10.1055/s-0040-1721050

European Journal of Pediatric Surgery Reports, Table of Contents

CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e102-e104
DOI: 10.1055/s-0040-1721050

Case Report

Image of the Month: Enterocolitis Following a Pull-through for Total Colonic Hirschsprung Disease in a 2-Year-Old Boy

Anisha Apte

¹Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States

,

Elise McKenna

²Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States

,

Marc A. Levitt

¹Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States

²Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States

³Division of Colorectal and Pelvic Reconstruction Surgery, Children's National Medical Center, Washington, District of Columbia, United States

› Author Affiliations

Abstract

We present a case of a 2-year-old boy with total colonic Hirschsprung disease (HD) who underwent an ileostomy as a newborn, and then colectomy and pull-through at 10 months of age. Since then he has presented four times with enterocolitis. The case is presented with a focus on evaluating patients with HD who present with obstructive symptoms following corrective surgery. A key image is presented along with questions formatted as a quiz to guide readers through critically evaluating the case.

Keywords

Hirschsprung disease - enterocolitis - pull-through

Full Text

References

References
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