0
ARTICLE |

Treatment of Hirschsprung's Disease with Entire Colon Involved in Aganglionic Defect

ORVAR SWENSON, M.D.; JOHN HERBERT FISHER, M.D.
AMA Arch Surg. 1955;70(4):535-538. doi:10.1001/archsurg.1955.01270100061010.
Text Size: A A A
Published online

In our experience with 150 patients having Hirschsprung's disease, 2 patients have been encountered in whom the entire colon was deficient in ganglion cells. Diagnosis and treatment of this condition required variations from that followed in the usual cases of Hirschsprung's disease where the aganglionic segment is limited to the rectum and rectosigmoid.

The two patients with deficient Auerbach's plexus ganglion cells throughout the colon presented so bizarre a clinical picture in comparison with that typically encountered in congenital megacolon, that they posed a considerable diagnostic problem. Both of these infants were admitted to the hospital because of abdominal distention and vomiting. Roentgenograms with barium revealed the colon to be essentially normal in size, the abdominal distention being due to small bowel dilatation. There was some attempt to empty the colon; however, a portion of the barium was retained in the colon and was still there in one patient several

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();