CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e102-e104
DOI: 10.1055/s-0040-1721050
Case Report

Image of the Month: Enterocolitis Following a Pull-through for Total Colonic Hirschsprung Disease in a 2-Year-Old Boy

Anisha Apte
1   Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
,
Elise McKenna
2   Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States
,
Marc A. Levitt
1   Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
2   Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States
3   Division of Colorectal and Pelvic Reconstruction Surgery, Children's National Medical Center, Washington, District of Columbia, United States
› Author Affiliations

Abstract

We present a case of a 2-year-old boy with total colonic Hirschsprung disease (HD) who underwent an ileostomy as a newborn, and then colectomy and pull-through at 10 months of age. Since then he has presented four times with enterocolitis. The case is presented with a focus on evaluating patients with HD who present with obstructive symptoms following corrective surgery. A key image is presented along with questions formatted as a quiz to guide readers through critically evaluating the case.



Publication History

Received: 29 May 2020

Accepted: 18 August 2020

Article published online:
09 January 2021

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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