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Unfortunately we were unable to obtain a report of the patient’s initial surgery, which had been carried out during her childhood. Judging by the anastomosis, a segment resection at the rectosigmoid junction had been performed. Despite fixed dilatation of the colon and rectum, neither Hirschsprung’s disease nor chronic acquired megacolon had been discussed during laparotomic adhesiolysis in the adult patient. We were able to confirm a typical aganglionosis at the distal end of the resected rectum, which had been previously diagnosed on endoscopic full thickness biopsy. Neither the current surgical management of Hirschsprung’s disease nor total proctocolectomy with ileal pouch-anal anastomosis was feasible after the numerous previous interventions.
DOI: 10.3238/arztebl.m2024.0173
On behalf of authors
Dr. med. Daniel Schmitz
Abteilung für Gastroenterologie und Infektiologie, Helios Kliniken Schwerin
Daniel.Schmitz@helios-gesundheit.de
Conflict of interest statement
The authors of all contributions declare that no conflict of interest exists.
| 1. | Schmitz D, Ritz JP, Wöhlke M: Aganglionic megacolon (Hirschsprung disease)—61 years to diagnosis. Dtsch Arztebl Int 2024; 121: 344 VOLLTEXT |
