Skip to main content
Gut logoLink to Gut
. 1996 Nov;39(5):765–767. doi: 10.1136/gut.39.5.765

Zonal adult Hirschsprung's disease.

C G Fu 1, T Muto 1, T Masaki 1, H Nagawa 1
PMCID: PMC1383405  PMID: 9014779

Abstract

BACKGROUND: Hirschsprung's disease is a congenital disorder which is rare in adulthood. In typical cases the aganglionosis involves mainly the rectum or rectosigmoid colon and the lesion starts from the anal valve. Zonal segmental aganglionosis is a very rare type even in children. PATIENT: A 54 year old women with zonal segmental aganglionosis had an aganglionic segment 18 cm in length located in the rectosigmoid colon with an 8 cm long normal appearing rectum and dilated proximal colon. Resection of the stenotic segment with end to end anastomosis was performed. CONCLUSION: The functional result was excellent five years after the operation.

Full text

PDF
765

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BENTLEY J. F. SOME NEW OBSERVATIONS ON MAGACOLON IN INFANCY AND CHILDHOOD WITH SPECIAL REFERENCE TO THE MANAGEMENT OF MEGASIGMOID AND MEGARECTUM. Dis Colon Rectum. 1964 Nov-Dec;7:462–470. doi: 10.1007/BF02616873. [DOI] [PubMed] [Google Scholar]
  2. Ikeda K., Goto S. Diagnosis and treatment of Hirschsprung's disease in Japan. An analysis of 1628 patients. Ann Surg. 1984 Apr;199(4):400–405. doi: 10.1097/00000658-198404000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Ikeda K., Goto S. Total colonic aganglionosis with or without small bowel involvement: an analysis of 137 patients. J Pediatr Surg. 1986 Apr;21(4):319–322. doi: 10.1016/s0022-3468(86)80193-2. [DOI] [PubMed] [Google Scholar]
  4. Kadair R. G., Sims J. E., Critchfield C. F. Zonal colonic hypoganglionosis. JAMA. 1977 Oct 24;238(17):1838–1840. [PubMed] [Google Scholar]
  5. McCready R. A., Beart R. W., Jr Adult Hirschsprung's disease: results of surgical treatment at Mayo Clinic. Dis Colon Rectum. 1980 Sep;23(6):401–407. doi: 10.1007/BF02586788. [DOI] [PubMed] [Google Scholar]
  6. Moriya H., Nakazaki H., Yokoyama S., Tajima T., Mitomi T., Satou S. [A case of segmental aganglionosis localized descending colon]. Nihon Shokakibyo Gakkai Zasshi. 1996 Jan;93(1):39–44. [PubMed] [Google Scholar]
  7. Powell R. W. Hirschsprung's disease in adolescents. Misadventures in diagnosis and management. Am Surg. 1989 Apr;55(4):212–218. [PubMed] [Google Scholar]
  8. Sprinz H., Cohen A., Heaton L. D. Hirschsprung's Disease with Skip Area. Ann Surg. 1961 Jan;153(1):143–148. doi: 10.1097/00000658-196101000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Todd I. P., Porter N. H., Morson B. C., Smith B., Friedmann C. A., Neal R. A. Chagas disease of the colon and rectum. Gut. 1969 Dec;10(12):1009–1014. doi: 10.1136/gut.10.12.1009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Venugopal S., Mancer K., Shandling B. The validity of rectal biopsy in relation to morphology and distribution of ganglion cells. J Pediatr Surg. 1981 Aug;16(4):433–437. doi: 10.1016/s0022-3468(81)80001-2. [DOI] [PubMed] [Google Scholar]
  11. Wheatley M. J., Wesley J. R., Coran A. G., Polley T. Z., Jr Hirschsprung's disease in adolescents and adults. Dis Colon Rectum. 1990 Jul;33(7):622–629. doi: 10.1007/BF02052222. [DOI] [PubMed] [Google Scholar]
  12. Yunis E., Sieber W. K., Akers D. R. Does zonal aganglionosis really exist? Report of a rare variety of Hirschsprung's disease and review of the literature. Pediatr Pathol. 1983 Jan-Mar;1(1):33–49. doi: 10.3109/15513818309048283. [DOI] [PubMed] [Google Scholar]
  13. de Chadarévian J. P., Slim M., Akel S. Double zonal aganglionosis in long segment Hirschsprung's disease with a "skip area" in transverse colon. J Pediatr Surg. 1982 Apr;17(2):195–197. doi: 10.1016/s0022-3468(82)80213-3. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES