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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 169-172

Primary Swenson's pull-through for adult Hirschsprung's disease: A report of two cases from Southwest Nigeria


1 Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Nigeria
2 Department of Surgery, General Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria

Correspondence Address:
Adesoji O Ademuyiwa
Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, PMB 12003, Idi Araba, Lagos
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.122979

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Hirschsprung's disease is commonly diagnosed (up to 90% in developed countries) in the neonatal period and infancy although late presentation into adulthood still occurs albeit uncommon. Adult Hirschsprung's disease (AHD) is defined as the presentation with features of Hirschsprung's disease to the hospital for the 1 st time or being diagnosed for the 1 st time after the age of 10 years. The standard treatment for AHD is staged: An initial colostomy, a pull-through procedure and a closure of the colostomy. The colostomy is performed to decompress the bowel of the huge fecal load, to allow the proximal megacolon to shrink and thus reduce the coloanal disproportion that will result during anastomosis and also to allow the nutritional rehabilitation of the patient resulting from the chronic constipation. Recent reports suggest that primary pull-through is possible in adults either as an open procedure or laparoscopically assisted. This is a report two cases of AHD managed in our center and who had primary Swenson's pull-through without a stoma. The need for patient selection is emphasized for a good outcome.


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