Jha Amit, Sapkota Hari, Ghimire Prasanna, Paudel Nabin, Ranabhat Roshani, Jha Sushmita
Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal.
Radiol Case Rep. 2024 Aug 28;19(11):5328-5331. doi: 10.1016/j.radcr.2024.08.011. eCollection 2024 Nov.
The diagnosis of adult Hirschsprung disease (HD) is rare, furthermore there are only 3 or 4 cases of adult ultrashort segment HD (USHD) reported previously in English literature to our knowledge. Herein, we present a case of a 22-year-old female presented with long standing history of constipation and abdominal distension secondary to USHD. Imaging modalities included plain abdominal X-ray, ultrasound (USG) and computed tomography (CT) scan which collectively aided in establishing the diagnosis. Through this case report, we aim to emphasize that HD should be suspected in every adult population with chronic constipation. Also, it highlights the role of CT scan as how it should be the preferred diagnostic tool for suspected adult HD, as, not only it helps correctly identify the transition zone but rule out other possible causes of chronic obstruction.
成人先天性巨结肠病（HD）的诊断较为罕见，据我们所知，此前英文文献中仅报道过3或4例成人超短段HD（USHD）病例。在此，我们报告一例22岁女性，因USHD出现长期便秘和腹胀病史。影像学检查包括腹部平片、超声（USG）和计算机断层扫描（CT），这些检查共同辅助确诊。通过本病例报告，我们旨在强调，对于每一位患有慢性便秘的成人患者都应怀疑HD。此外，它还突出了CT扫描的作用，即它应是疑似成人HD的首选诊断工具，因为它不仅有助于正确识别移行区，还能排除慢性梗阻的其他可能原因。
