Division of Digestive, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Department of Surgery, Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia.
Pan Afr Med J. 2022 Jan 5;41:11. doi: 10.11604/pamj.2022.41.11.31148. eCollection 2022.
Most cases of Hirschsprung disease (HD) cases are known in newborns or infants. Nevertheless, some cases with mild symptoms are not identified until acute presentations, such as bowel obstruction present in adolescence or adulthood. We reported a 25-year-old male with a history of chronic constipation from childhood presenting with bowel obstruction due to HD. As an emergency operation, the Hartmann procedure was performed to overcome the obstruction. The histological result showed an aganglionic segment, confirming HD. We plan a definitive Duhamel endorectal pull-through surgery three to six months in the future. Adult HD is uncommon, and clinicians should be aware when patients with histories of chronic constipation from a young age present with intestinal obstruction.
大多数先天性巨结肠（HD）病例在新生儿或婴儿期即可确诊。然而，一些症状较轻的病例直到青少年或成年出现急性肠梗阻等表现才被发现。我们报告了一例 25 岁男性，其自幼患有慢性便秘，因 HD 导致肠梗阻。作为急诊手术，行 Hartmann 手术以克服梗阻。组织学结果显示无神经节细胞段，证实为 HD。我们计划在未来 3 至 6 个月进行确定性 Duhamel 经肛门直肠拖出术。成人 HD 并不常见，当年轻时期有慢性便秘病史的患者出现肠梗阻时，临床医生应保持警惕。
