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Early onset of cecal perforation in neonatal, recto‐sigmoid type Hirschsprung's disease
Author(s) -
YAMAMOTO TOSHIHARU,
HAYASHI YOSHIHIRO,
SUZUKI HIDEAKI,
TAHARA TAKAHIRO,
FUJISAWA KOHJI,
ETO YOSHIKATSU,
YAMAZAKI YOJI,
MAEKAWA KIHEI
Publication year - 1994
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1994.tb03278.x
Subject(s) - medicine , cecum , perforation , sigmoid colon , pathological , surgery , gastroenterology , rectum , materials science , punching , metallurgy
Hirschsprung's disease has been considered to cause intestinal perforation in rare cases. Even if a perforation occurs, the majority of cases are associated with the long‐segment or total colonic type. Our case developed the perforation in the neonatal period in spite of being of the recto‐sigmoidal type, and it affected the cecum. We do not have a good explanation for this condition. However, the pathological examination of the specimens of the perforated cecum revealed some necrosis (ulceration, subcutaneous hemorrhage, congestion and severe edema) which was considered to be caused by ischemia, secondary to a localized vascular accident in the wall of the distended intestine.