PDF(Pubmed)
Abstract：
Hirschsprung\'s disease is a rare disease characterized by the complete absence of ganglionic cells in the colon, thereby causing loss of peristalsis movement of the bowel. Most cases are diagnosed before the age of one. Here, we present a case of a newborn baby boy who was not feeding well and then developed a distended abdomen and began bilious vomiting. Blood mucoid stools were also observed. The diagnosis of Hirschsprung\'s disease was confirmed through a full-thickness rectal biopsy, and the Duhamel surgical procedure was performed as a course of treatment all within the first few days of birth. No complications were reported, and the baby was safely discharged after seven days. This case demonstrates the importance of timely treatment after prompt diagnosis due to the early recognition of the severe symptoms. Even though this disease is rare, pediatricians should be trained to recognize and treat the child to prevent further detrimental outcomes.
摘要：
先天性巨结肠是一种罕见的疾病，其特征是结肠中完全没有神经节细胞，从而导致肠蠕动丧失。大多数病例在1岁之前被诊断。这里,我们介绍了一个新生儿男婴的情况，他喂养不好，然后腹部扩张，开始胆汁性呕吐。还观察到血液粘液样粪便。通过全层直肠活检证实了Hirschsprung病的诊断，Duhamel外科手术在出生后的头几天内作为一个疗程进行。无并发症报告，婴儿在七天后安全出院。由于早期识别严重症状，该病例证明了及时诊断后及时治疗的重要性。尽管这种疾病很罕见,儿科医生应接受识别和治疗儿童的培训，以防止进一步的有害结果。
