We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Redo transanal pull-through for Hirschsprung's disease

Epublication WebSurg.com, Nov 2011;11(11). URL: http://websurg.com/doi/vd01en3439

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 3391
  • 48
  • 2011-11-15
Share it
We present a case of a 3-year-old boy with a history of Hirschsprung’s Disease. He had been diagnosed at the age of two, and at that time underwent a laparoscopic-assisted Soave pull-through. He initially did well, but after a few months, had recurrent severe constipation with fecal impaction as well as an episode of enterocolitis. A contrast enema showed a dilated distal pull-through segment with normal-caliber sigmoid colon proximally, and an EUA found a preserved dentate line circumferentially with a stricture at the previous anastomosis. A biopsy was performed two centimeters proximal to the anastomosis and pathology was consistent with transition zone bowel with hypertrophic nerves and only occasional ganglion cells. We decided to do a redo transanal pull-through to remove the aganglionated and dilated segment of colon.