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Key words: Chagas disease. Fecaloma. Megacolon. Surgical treatment. Palabras clave: Enfermedad de Chagas. Megacolon. Fecaloma. Tratamiento quirúrgico. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer . bolsa, anastomosis íleo-anal, pouchitis, complicaciones, megacolon tóxico y. JARAMILLO BARBERI, Lina Eugenia. Proposed Recommendations and Guidelines for Diagnosis of Hirschsprung’s Disease in Mucosal and Submucosal .

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On examination, she presented lower abdominal discomfort with feeling lower abdominal mass. This is an open-access article distributed under the terms of the Creative Commons Attribution License.

Am J Gastroenterol ; Therefore, fecal incontinence can cause emotional disturbances to patients, with subsequent relationship problems at school and with their own families. HD occurs in approximately 1 in live births. In addition, it is established that factors related to gender play a role, since men are preferentially affected, at a frequency of 4: The diagnosis of HD is supported by diagnosyico enema studies, anorectal manometry and rectal biopsy.

Am J Surg Pathol ;31; Informe de um caso. The girl was discharged on the 5th day after surgery. The absence of ganglion cells results in permanent contraction of the affected segment, preventing the passage of fecal content through that region.

Enfermedad de Hirschsprung | Osceola Surgical Associates

This factor contributed to the delay in her diagnosis, driving the pediatrician out of a HD hypothesis. A hypothesis of HD was proposed; thus an anorectal manometry was asked, but its result was inconclusive due enferkedad patient’s lack of cooperation. During admission the patient was interrogated again and in her family history stands out the death of his mother for cardiac disease at the age of Therefore, the most liquid stools upstream pass around the fecal impaction and produce the reported symptom, known as fecal incontinence soiling.


Enfermedad de Hirschsprung en adultos. It is caused by Trypanosoma cruzi 1 that is transmitted by blood-sucking insects, blood transfusions or fetal transmission 1,2.

Hirschsprung disease enferjedad hypoganglionosis in adults: However, post-operative hirschspruung functioning is not always satisfactory. Gordon PH, Nivatvongs S. CHD serology was performed being positive.

Enfermedad de Hirschsprung del adulto: Cutait DE, Cutait R. Enfermedad de Hirschsprung en el adulto. Typically, patients go to the doctor with a long-standing history of constipation requiring frequent laxative use. Cleansing enemas are effective and fibrocolonoscopy was normal. Our patient had a history of long-standing bowel constipation, progressing to fecal incontinence.

The patient underwent conservative treatment with good evolution and dianostico discharged without surgical intervention. Dear EditorChagas disease CHD is endemic in the Americas but due to increased immigration is becoming increasingly common in our country.

Discussion Megacolon is an abnormal dilation of the colon that can be caused by several factors: In addition, the reported symptoms caused the girl’s parents to begin to justify such a fact as a result of some psychological, rather than organic, disorder.

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Recurrrrence of chagasic megacolon after surgical treatment: The objective of this study is to report a case of late diagnosis of the disease at age 13, with diagnostic of fecal incontinence in its evolution.

In this latter case, HD may affect the entire colon and even the small intestine. Case Reports Late diagnosis of Hirschsprung’s disease. Surgical treatment of Chagas megacolon. The pathophysiology of CHD is not entirely known.

Enfermedad de Hirschsprung

Hirschsprung’s disease; Congenital megacolon; Fecal incontinence. A new surgical method for the treatment of chagasic megacolon.


The technique considered as the golden standard for the diagnosis of HD is the absence of ganglion cells in a rectal biopsy specimen. Treatment of megacolon secondary to CHD should be to prevent surgical complications.

Clinical case Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation. The other is the Habr-Gama technique that causes the posterior colorectal anastomosis, immediately, with acceptable results 8. Rev Esp Enferm Dig ; Rectosigmoidectomy with Ileal Loop Interposition.

Dis Colon Rectum ;46 11 Duhamel-Haddad Procedure is also a good option. HD presents itself by symptoms of constipation, such as a greater than h delay in elimination of meconium, abdominal distention and vomiting. Conservative treatment is reserved for patients oligosymptomatic or with surgical contraindications 5.

Serology for Chagas’ disease was carried out in order to exclude a diagnosis of Chagas’ Disease megacolon, with negative result. Hirscshprung patients reach adulthood without a diagnosis for this disease. Female patient, 13 years old, coming from Campo Grande – MS, reports that since birth had intestinal constipation, with mean bowel movements at every days with hardened feces, being followed-up by a pediatrician and in treatment for functional constipation.

Acta Cir Bras ;23 suppl,1: The enteric nervous system in chagasic and idiopathic megacolon. The girl refers onset of fecal incontinence at the age of