The Appendix and Aganglionosis. A Note of Caution—How the Histology Can Mislead the Surgeon in Total Colonic Hirschsprung Disease
| Autor: | Victoria Alison Lane, Marc A. Levitt, Peter Baker, Peter Minneci, Katherine Deans |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | European Journal of Pediatric Surgery Reports, Vol 03, Iss 01, Pp 003-006 (2015) |
| Druh dokumentu: | article |
| ISSN: | 2194-7619 2194-7627 |
| DOI: | 10.1055/s-0035-1552559 |
| Popis: | Abstract We present the case of a child with presumed total colonic Hirschsprung disease (HD) to highlight the problems the surgeon is likely to encounter if he/she relies on the appendix alone for histopathologic diagnosis. A newborn male infant, who was presumed to have total colonic aganglionosis when the appendix was found to be aganglionic at the time of initial exploratory laparoscopy, was managed with an ileostomy in the newborn period; however, at the time of his planned pull-through procedure, the rectal biopsy revealed normal ganglion cells. The child was subsequently managed with ileostomy closure and observed for normal feeding and stooling prior to discharge home. We discuss the histopathologic findings of the appendix in separate cases of confirmed total colonic HD seen in our center, and review the normal histopathologic findings of the appendix. |
| Databáze: | Directory of Open Access Journals |
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