Intestinal obstruction due to giant fecaloma in an adolescent with Hirschsprung’s disease

Fernández-Ríos N.; Aparicio-Curazi M.M.; Altamirano-Farfan E.F.; Oporto-Arenas B.M.; Cama-Caso Y.F. · Anales de la Facultad de Medicina (2023) · DOI: 10.15381/anales.v84i4.25094

Resumen

Hirschsprung’s disease (HD) is uncommon, and most of the cases occur in neonates. It is rarely diagnosed during adolescence, and even fewer cases are documented. We present the case of a 16-year-old male who had 15 days of constipation, anorexia, postprandial vomiting and abdominal distension. Imaging examinations showed a massive fecaloma obstructing the colon, and histopathological examinations showed HD. Given the failure of conservative evacuation measures, an extended left hemicolectomy and colostomy were performed, plus appendectomy for bowel obstruction. The patient was discharged with antibiotic therapy. This case highlights the importance of considering HD in adolescents with chronic constipation and abdominal masses. Although patients may experience postoperative problems, surgery is the most effective treatment for HD. © Iranian Journal of Polymer Science and Technology.All rights reserved

Instituciones: Universidad Nacional de San Agustín de Arequipa