Adult Onset Hirschsprungs Disease: A Case Report

Felicia Adelina Shannen, Andika, I Made Adi Surya Wijaya

Abstract: Background: Hirchsprung's disease is commonly diagnosed in children shortly after birth. It is an uncommon diagnosis in adults and often missdiagnosed. Case: A 29-year-old woman presented with chronic constipation and distended abdomen for over 2 months. After several examinations she was diagnosed with adult Hirchsprung's Disease. Surgery was performed and a dilated colon was obtained and resected. Biopsy of the dilated segment revealed aganglionic and hypoganglionic cells consistent with the diagnosis of Hirschsprung's Disease. Conclusion: Although uncommon, Hirschsprung's Disease should be considered in adults. Early diagnosis and prompt management can provide a good outcome.

Keywords: Adult Hirschsprung's disease, chronic constipation, colostomy, biopsy