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Clinics and Practice
Volume 10
Issue 4
10.4081/cp.2020.1270
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Constipation and Dilated Bowel: Hirschsprung’s Disease Is Not Always the Case

by
Savas P. Deftereos
1,*,
Soultana Foutzitzi
2,
Georgios Karagiannakis
3,
Maria Aggelidou
4,
Dimitrios C. Cassimos
5 and
Katerina Kambouri
6
1
Department of Radiology, Democritus University of Thrace (D.U.Th.) University Hospital of Alexandroupolis, Greece
2
Consultant Radiologist, University Hospital of Alexandroupolis, Greece
3
Consultant Radiologist, General Hospital of Lixouri “Mantzavinatio” Cephalonia, Greece
4
Consultant Paediatric Surgeon, University Hospital of Alexandroupolis, Greece
5
Department of Paediatrics, Democritus University of Thrace (D.U.Th.), University Hospital of Alexandroupolis, Greece
6
Department of Paediatric Surgery, Democritus University of Thrace (D.U.Th.), University Hospital of Alexandroupolis, Greece
*
Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(4), 1270; https://doi.org/10.4081/cp.2020.1270
Submission received: 24 May 2020 / Revised: 18 September 2020 / Accepted: 25 September 2020 / Published: 16 October 2020

Abstract

A case of a 2-month-old boy with constipation and a localized abdominal distension in the right abdomen and hypogastrium is presented. Plain radiograph, ultrasound exam as well as a barium enema were suggestive of Hirschsprung’s disease (HD) (ultrashort segment disease). Nevertheless, rectal suction biopsy was negative for neuronal abnormalities and unexpectedly on plain radiograph vertebral abnormalities were noticed. Subsequently magnetic resonance imaging of the spine and abdomen was performed, to evaluate possible spinal cord lesions and potential abnormalities of the perineal region musculature. A syringe throughout medullary cone was noted. The well-known issue, that the diagnosis of HD does not depend on the imaging (radiological) findings, was confirmed. The step-bystep diagnostic approach from the initial thought of ultrashort segment HD to the later imaging-based diagnosis of syringomyelia is discussed in this present paper.
Keywords: Hischprung’s disease; syringomyelia; children Hischprung’s disease; syringomyelia; children

Share and Cite

MDPI and ACS Style

Deftereos, S.P.; Foutzitzi, S.; Karagiannakis, G.; Aggelidou, M.; Cassimos, D.C.; Kambouri, K. Constipation and Dilated Bowel: Hirschsprung’s Disease Is Not Always the Case. Clin. Pract. 2020, 10, 1270. https://doi.org/10.4081/cp.2020.1270

AMA Style

Deftereos SP, Foutzitzi S, Karagiannakis G, Aggelidou M, Cassimos DC, Kambouri K. Constipation and Dilated Bowel: Hirschsprung’s Disease Is Not Always the Case. Clinics and Practice. 2020; 10(4):1270. https://doi.org/10.4081/cp.2020.1270

Chicago/Turabian Style

Deftereos, Savas P., Soultana Foutzitzi, Georgios Karagiannakis, Maria Aggelidou, Dimitrios C. Cassimos, and Katerina Kambouri. 2020. "Constipation and Dilated Bowel: Hirschsprung’s Disease Is Not Always the Case" Clinics and Practice 10, no. 4: 1270. https://doi.org/10.4081/cp.2020.1270

APA Style

Deftereos, S. P., Foutzitzi, S., Karagiannakis, G., Aggelidou, M., Cassimos, D. C., & Kambouri, K. (2020). Constipation and Dilated Bowel: Hirschsprung’s Disease Is Not Always the Case. Clinics and Practice, 10(4), 1270. https://doi.org/10.4081/cp.2020.1270

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