Hirschsprung disease (short segment type)

Case contributed by Dr Aditya Shetty

Presentation

Constipation.

Patient Data

Age: 2
Gender: Male
Modality: Barium

Barium enema findings:

  • narrowing of recto-sigmoid segment of intestine
  • proximal dilatation of the colon
  • 'jejunisation' of the descending colon
Modality: Annotated image

Annotated images

  1. short narrowed segment indicated between the yellow dotted lines; TZ = transition zone
  2. yellow arrows indicate the small bowel (jejunal) pattern to the descending colon 

Case Discussion

Case of short segment Hirschsprung disease

Known cause of obstruction in neonates and up to 5 years of age

Recto-sigmoid ratio is an objective method of assessment

Recto-sigmoid ratio less than 1 is diagnostic for the short segment type

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Case Information

rID: 27874
Case created: 24th Feb 2014
Last edited: 1st Oct 2015
Tags: shetty, rectum
Inclusion in quiz mode: Included

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