Hirschsprung's disease
A Arshad, C Powell, MP Tighe - Bmj, 2012 - bmj.com
A Arshad, C Powell, MP Tighe
Bmj, 2012•bmj.comA 3 year old boy is brought to his general practitioner again by his worried mother. She is
concerned that he remains constipated despite trying a third different laxative. Further history
showed that he passed his first meconium only on day 5, and since then has been opening
his bowels only weekly, with associated straining. His growth has fallen from the 25th to the
2nd centile for height and weight. On examination he has a distended abdomen with
palpable stool throughout the abdomen.
concerned that he remains constipated despite trying a third different laxative. Further history
showed that he passed his first meconium only on day 5, and since then has been opening
his bowels only weekly, with associated straining. His growth has fallen from the 25th to the
2nd centile for height and weight. On examination he has a distended abdomen with
palpable stool throughout the abdomen.
A 3 year old boy is brought to his general practitioner again by his worried mother. She is concerned that he remains constipated despite trying a third different laxative. Further history showed that he passed his first meconium only on day 5, and since then has been opening his bowels only weekly, with associated straining. His growth has fallen from the 25th to the 2nd centile for height and weight. On examination he has a distended abdomen with palpable stool throughout the abdomen.
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