ENFERMEDAD DE HIRSCHSPRUNG EN RECIÉN NACIDOS. A PROPÓSITO DE UN CASO CLÍNICO
Rivero Cecilia1, Zunino Carlos2, García Loreley3
Posgrado de pediatría y neonatología. Facultad de Medicina. Universidad de la República. Uruguay
Profesor Adjunto. Clínica Pediátrica. Facultad de Medicina. Universidad de la República. Uruguay
Profesora Agregada. Clínica Pediátrica. Facultad de Medicina. Universidad de la República. Uruguay
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Hirschsprung's disease is the most common cause of lower intestinal obstruction in the first month of life. The objective of this publication is to communicate a frequent form of presentation of this disease and to reinforce the importance of timely diagnosis by pediatricians. Clinical case: male newborn 36hs of life. Term, Appropiate for gestational age, vigorous, without external dysmorphism. After 36 hours of life, he started vomiting, progressive abdominal distension, no meconium was observed. At the distended abdomen examination, diffuse pain on palpation. Rectal touch: empty blister. Simple abdominal radiography compatible with intestinal occlusion. Colon radiograph with contrast suggestive of Hirschsprung's disease (HD) of short segment that was confirmed with rectal biopsy. Colonic irrigations were performed until surgical resolution at 6 months of age. It required an anal dilatation plan with good posterior evolution without complications. Conclusions: The pediatrician has a fundamental role in the diagnostic suspicion of HD and must know its different forms of presentation. It is very important to suspect this disease in newborns who have intestinal occlusion in the first hours of life. |
