Abstract

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.

Highlights

  • Hirschsprung’s disease is a condition that affects the large intestine and causes problems passing stool

  • Yavatmal was admitted to pediatric ward no 22 in AVBRH on 1st Feb. 2021 with a known case of Hirschsprung's disease, his weight is 8.4kg and his height is 80 cm

  • A male child of 2 years old was admitted to AVBRH on 1st February 2021 by his parents with a complaint of the child was not passing stool since birth, and fever, vomiting, abdominal pain, failure of thriving, poor feeding and he was admitted to the pediatric ward he is a known case of Hirschsprung's disease, and child is weak and inactive on admission time

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Summary

A Rare Case Report on Hirschsprung’s Disease

This work was carried out in collaboration among all authors. All authors read and approved the final manuscript. (2) Evelyn Sharon Sukumaran, Dr MGR Educational and Research Institute, India

INTRODUCTION
Present Medical History
Family History
Diagnosis Assessment
Pull Through Surgery
Nursing Management
DISCUSSION
Findings
CONCLUSION
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