Hirschsprung Disease pencil thin stools pictures

Am J Roentgenol Radium Ther Nucl Med 93:432–446 AJR 123:770–777īerdon WE, Baker DH (1965) The roentgenographic diagnosis of Hirschsprung’s disease in infancy. A measurement for the early diagnosis of Hirschsprung’s disease. Pochaczevsky R, Leonidas JC (1975) The “recto-sigmoid” index. Shaw PA (1990) The innervation and neuroendocrine cell population of the appendix in total colonic aganglionosis. J Pediatr Surg 40:1527–1531įekete C, Ricour C, Martelli H et al (1986) Total colonic aganglionosis (with or without ileal involvement): a review of 27 cases.

Martucciello G, Pini Prato A, Puri P et al (2005) Controversies concerning diagnostic guidelines for anomalies of the enteric nervous system: a report from the fourth International Symposium on Hirschsprung’s disease and related neurocristopathies. J Pediatr Surg 8:587–594Ĭoran AG, Teitelbaum DH (2000) Recent advances in the management of Hirschsprung’s disease. Swenson O, Sherman JO, Fisher JH (1973) Diagnosis of congenital megacolon: an analysis of 501 patients. Zutshi M, Hull T (2006) Constipation, etiology, evaluation, and management. Consider TCHD if the contrast enema study is normal but the patient remains symptomatic and other causes of distal bowel obstruction have been excluded. The transitional zone and the rectosigmoid index can be false-positive in TCHD. The length of the aganglionic small bowel and the age of the patient can influence the radiological findings in TCHD. The diagnosis of TCHD is difficult to establish by contrast enema studies. Colonic transitional zones were found in eight patients with TCHD.

Additional findings included spasmodic colon, ileal reflux, delayed evacuation and abdominal calcifications. Three colonic patterns of TCHD were found: microcolon, question-mark-shape colon and normal caliber colon. Materials and methodsįrom 1966 to 2007, 17 records from a total of 31 patients with TCHD were retrospectively evaluated for diameter and shape of the colon, diameter of the small bowel, bowel wall contour, ileal reflux, abdominal calcifications, pneumoperitoneum, filling defects, transitional zones and rectosigmoid index. To evaluate the radiographic and contrast enema findings in patients with pathologically proven TCHD. The diagnosis of total colonic HD (TCHD) based on contrast enemas is difficult in newborns because radiological findings vary. Hirschsprung disease (HD) is a functional obstruction of the bowel caused by the absence of intrinsic enteric ganglion cells.

Hirschsprung Disease pencil thin stools pictures