Duhamel's procedure for adult Hirschsprung's disease

Mehreen Adhi, Salma Khan, Hasnain Zafar, Muhammad Arshad

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

An adult presented with chronic constipation and abdominal mass. Clinical features, abdominal radiographs and barium enema revealed features consistent with Hirschsprung's disease. Full-thickness rectal biopsy was planned, but patient was lost to follow-up and presented 3 years later with intestinal obstruction. Exploratory laparotomy with resection of affected sigmoid colon and end colostomy were performed. Sequential rectal biopsies were obtained during the procedure to confirm the diagnosis. Later, Duhamel's procedure with a diverting loop ileostomy was successfully performed. Ileostomy reversal was done thereafter. There was complete resolution of symptoms and dramatic improvement in bowel function.

Original languageEnglish
Pages (from-to)395-397
Number of pages3
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Volume22
Issue number6
Publication statusPublished - Jun 2012

Keywords

  • Abdominal mass
  • Adult
  • Adult Hirschsprung's disease
  • Chronic constipation
  • Duhamel's procedure
  • Rectal biopsy

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