Abstract
A 19-year-old female had a lifetime history of alternating diarrhoea and constipation. After developing acute lower abdominal pain for several days, she was taken to hospital but died soon after admission. A coronial autopsy showed massive distension and infarction of the descending colon and rectum, which were loaded with faeces. Microscopic features of the distal colon were indicative of Hirschprung's disease. A diagnosis of Hirschprung's disease is usually made in early infancy, however this can be delayed for many reasons. In this unusual case, no medical investigation of this debilitating condition was ever performed, despite its near 20 year course.
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