Abstract

Introduction: Hirschsprung's disease is the most common cause of large intestinal obstructing in neonates. Hirschsprung's disease is a congenital anomaly caused by migratory failure of neural crest cells leading to abnormal innervations of the bowel .The defect begins in the internal and sphincter and extends proximally for a variable length of gut. Hirschprung's disease is a disorder of the gut caused due to congenital absence of ganglion cells in the sub-mucosal and myenteric plexus of intestine. This disease is also known as megacolon or congenital Aganglionic megacolon. Case presentation: A 2 years old male child, known case of Hirschprung’s disease, was brought to AVBRH for further management. As narrated by the mother, the child was not passing stool since birth. There was no history of abdominal distention, vomiting or fever. The child pass the stool with the help of enema which was given to the child in the morning and evening. Mast. Devansh has past history of NICU stay. In View of not passing stools, USG of abdomen and pelvis done. Endorectal pull through surgery was done on 4/02/2021 under general anesthesia. No any past surgical history. There is a past history of rectal biopsy done in 1 1/2 month of age. Conclusion:The patient was admitted in AVBRH for further management. Then the report mainly focused on surgical management and quality nursing care due to which patient was discharged without any further complication and satisfaction.

Highlights

  • Hirschsprung's disease is the most common cause of large intestinal obstructing in neonates

  • There is a past history of rectal biopsy done in 1 1/2 month of age

  • There was no history of abdominal distention, vomiting or fever

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Summary

A Case Report on 2 years Child

Anushri Kale 1*, Aditi Badwaik 1, Pallavi Dhulse 1, Archana Maurya 1 and Bibin Kurian 1. This work was carried out in collaboration among all authors. All authors read and approved the final manuscript. Open Peer Review History: This journal follows the Advanced Open Peer Review policy. Identity of the Reviewers, Editor(s) and additional Reviewers, peer review comments, different versions of the manuscript, comments of the editors, etc are available here: https://www.sdiarticle5.com/review-history/75036

Past Surgical History
History of Illness
Present Surgical History
Developmental Milestones
Duhamel Procedure
2.10.1.2 Rectal biopsy
2.10.1.3 Nursing diagnosis
DISCUSSION
CONCLUSION
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