A Rare Case Report on Hirschsprung’s Disease

Introduction: Hirschsprung’s disease is a condition that affects the large intestine and causes problems passing stool. It was first identified by “Ruysch” in 1961 and popularized by Hirschsprung’s in 1886. A missing nerve cell in the baby's colon muscles causes the condition, which is present at birth.

Clinical Findings: Difficulty in passing stool, Abdominal pain, fever, (Temperature 100-degree f) Vomiting, Failure to thrive, poor feeding.

Diagnostic Evaluation: CBC Infestation, Blood test, Hb -10.4 gm%, Total RBC Count -4.37 million /cu mm, RDW-13.3%, HCT-30.5%, Total WBC Cont-4000 /cu mm, Monocytes- 13%, Granulocytes-65%, Lymphocytes-30%, AST (SGOT)-28 U/L.

Therapeutic Intervention: Blood Transfusion, Inj. Aminoven 200 mg BD, Cefotaxime 400 mg BD IV, Inj. Amikacin 130 mg OD, Inj. Metrogyl 90 mg BD, Inj. Pantocid 10 mg OD.

Outcome: After Treatment the child show improvement in his passing stool frequently and relived Vomiting, fever, and increases feeding pattern.

Conclusion: My patient was admitted to pediatric ward no 22 at AVBRH with a known case of Hirschsprung's Disease, and he had complained of difficulty in passing stool, at birth after getting appropriate treatment and surgery his condition was improving.