100. Zur Wahl des Operationsverfahrens beim Megacolon congenitum Hirschsprung aufgrund von Sp�tergebnissen

1980 ◽  
Vol 352 (1) ◽  
pp. 339-341 ◽  
Author(s):  
W. R. Ott ◽  
I. Joppich
Keyword(s):  
1993 ◽  
Vol 25 (6) ◽  
pp. 386-388
Author(s):  
R. Morger ◽  
M. Müller
Keyword(s):  

Open Medicine ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. 723-726
Author(s):  
Ivona Djordjevic ◽  
Danica Jovanovic ◽  
Blagoje Grujic

AbstractCurrarino syndrome was first described as a triad by Guido Currarino, an American radiologist in 1981. It is an autosomal dominant hereditary disease known by the triad of anorectal stenosis, anterior sacral defect, and a presacral mass that is most often an anterior sacral meningocele.We represent a 3 year boy with refractory constipation from birth, which had been wrongly diagnosed and treated as Hirschsprung’s disease since early childhood. The patient underwent urgent colostomy because of water intoxication due to bowel irrigation, and following investigations (CT, MRI) revealed anorectal anomaly and presacral mass compatible with Curarrino’s syndrome.Definitive operation was done with perineal approach, posterior sagittal anorectoplasty, with interval colostomy closure 2 months after perineal operation. An uncomplicated postoperative recovery ensued. The patient’s bowel habits successfully returned to normal soon after the operation. A multidisciplinary diagnostic and therapeutic protocol is presented. Main points are rectal examination, sacrum x-Ray, molecular genetic diagnosis, radiologic evaluation of every member of Currarino syndrome families, CT scan, magnetic resonance (MR) evaluation of patient spine and pelvis and suction rectal biopsies. If the mass is a meningocele, colostomy and neurosurgical exploration should precede anoplasty due to the risk of meningitis.


1987 ◽  
Vol 372 (1) ◽  
pp. 949-949
Author(s):  
A. Frilling ◽  
P. E. Goretzki ◽  
E. Heissen ◽  
H. D. R�her
Keyword(s):  

2021 ◽  
Vol 32 (5-6) ◽  
pp. 457-461
Author(s):  
T. Z. Gurevich

Under the name idiopathic enlargement of the large intestines or Hirschsprung's disease, Megacolon Congenitum, a kind of levitation is known, the essence of which is that the large intestines appear to be enlarged in one stretch or another, sometimes of colossal dimensions, for no apparent reason that could cause such an expansion. The walls of the dilated segment of the intestines are usually thickened, hypertrophied.


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