Colorectal Quiz Episode 27: Delayed Hirschsprung Disease
Topic overview
In Episode 27 we discuss how to evaluate, work up, and treat a complicated case of constipation in a toddler and answer the question, “could this be delayed Hirschsprung Disease?”
Host: Shimon Jacobs
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Key takeaways
- Hirschsprung disease can present with delayed onset constipation in toddlers, not just neonatal obstruction.
- Complicated constipation unresponsive to medical management warrants workup for anatomic causes like Hirschsprung.
- Systematic evaluation includes history, physical exam, and targeted diagnostic studies to differentiate functional from organic etiologies.
- Recognition of atypical Hirschsprung presentations prevents prolonged ineffective treatment and enables timely surgical intervention.
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