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Vo J, Hayler R, Tyler A, Verschuer K. Chronic constipation and abdominal distension in a patient with adult Hirschprung's disease and bilateral ovarian teratomas. J Surg Case Rep 2024; 2024:rjae227. [PMID: 38638925 PMCID: PMC11026061 DOI: 10.1093/jscr/rjae227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 03/22/2024] [Indexed: 04/20/2024] Open
Abstract
Hirschprung's disease is a congenital disorder characterized by aganglionic bowel, usually diagnosed in infancy. Here, we present a unique case of Hirschprung's disease diagnosed in a 29-year-old female with acute on chronic constipation. As part of her work up, a computerized tomography of her abdomen and pelvis revealed large, bilateral dermoid cysts. A diagnostic and therapeutic colonoscopy allowed manual disimpaction and decompression of her bowel, as well as biopsy attainment. Histopathology revealed absence of ganglionic cells on haematoxylin and eosin stain and calretinin immunostaining. This case underscores the diagnostic challenges of Adult Hirschprung's disease and how this impacts patient quality of life, as well as the work up and management of concurrent causes abdominopelvic conditions.
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Affiliation(s)
- Jessica Vo
- Department of Obstetrics and Gynaecology, St George Hospital, Gray St George Hospital, Kogarah, Sydney, NSW, Australia
- Faculty of Women’s Health, St George and Sutherland Clinical School (University of New South Wales), St George Hospital, Gray St, Kogarah, Sydney, NSW, Australia
| | - Raymond Hayler
- Department of Surgery, St George Hospital, Gray St, Kogarah, Sydney, NSW, Australia
- Faculty of Medicine & Health, St George and Sutherland Clinical School (University of New South Wales), St George Hospital, Gray St, Kogarah, Sydney, NSW, Australia
- Faculty of Medicine and Health, Macquarie University, Technology Pl, Macquarie Park, Sydney, NSW, Australia
| | - Alex Tyler
- Department of Surgery, Shoalhaven District Memorial Hospital, Scenic Dr, Nowra, NSW, Australia
| | - Kurt Verschuer
- Department of Surgery, Shoalhaven District Memorial Hospital, Scenic Dr, Nowra, NSW, Australia
- Department of Surgery, Goulburn Base Hospital, 130 Goldsmith St, Goulburn, NSW, Australia
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Combes AD, Limmer AM, Verschuer K. Small bowel intussusception secondary to Meckel's diverticulum containing polypoid lesion in pregnancy. ANZ J Surg 2019; 90:1774-1776. [PMID: 31833182 DOI: 10.1111/ans.15626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 11/25/2019] [Accepted: 11/26/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Alexander D Combes
- Department of Surgery, St George, Shoalhaven and Sutherland Hospitals, Sydney, New South Wales, Australia
| | - Alexandra M Limmer
- School of Medicine, Department of Surgery, Liverpool Hospital and Western Sydney University, Sydney, New South Wales, Australia
| | - Kurt Verschuer
- Department of Surgery, Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia
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Gaszynski R, Punch G, Verschuer K. Loop and drain technique for subcutaneous abscess: a safe minimally invasive procedure in an adult population. ANZ J Surg 2016; 88:87-90. [DOI: 10.1111/ans.13709] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Revised: 06/09/2016] [Accepted: 07/04/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Rafael Gaszynski
- Department of General Surgery; Shoalhaven District Memorial Hospital; Nowra New South Wales Australia
| | - Gratian Punch
- Department of General Surgery; Lismore General Hospital; Lismore New South Wales Australia
| | - Kurt Verschuer
- Department of General Surgery; Shoalhaven District Memorial Hospital; Nowra New South Wales Australia
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