Muntadhar M. Isa, Maimun Syukri, Z.A. Muchlisin, Gunadi, Dian Adi Syahputra, Teuku Yusriadi, Yumna Muzzakir, Siti Maghfirah, Reno Keumalazia Kamarlis, Zulham Effendy
Hirschsprung's disease (HD) is characterized by the absence of ganglionic neuronal innervation cells of the bowel wall in the distal portion, some milder cases are well tolerated and diagnosed after infancy or following a pullthrough surgery. In this report, we present a case of an eight years old male patient with residual HD associated enterocolitis (HAEC). The patient was referred from a different hospital with abdominal distention, constipation, diarrhea, and routine laxative for defecation with chronic constipation suspected HAEC after transanal endorectal pull-through like Soave procedure 4 years ago. After surgery, the patients did not come for routine post-operative follow up. The patient was later diagnosed with residual HD with HAEC. We performed redo operatives pull-through like Swenson tapering with a linear stapler. In conclusion, the patient with residual HAEC showed good results after one stage redo Trans-anal Endorectal Pull-through (TEPT) Like Swenson. © 2024 Universiti Putra Malaysia Press. All rights reserved.
Graduate School of Mathematics and Applied Sciences, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia; Pediatric Surgery Division, Department of Surgery, Universitas Syiah Kuala, Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia; Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Universitas Syiah Kuala, Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia; Faculty of Marine and Fisheries, Universitas Syiah Kuala, Indonesia; Pediatric Surgery Division, Department of Surgery, Universitas Gajah Mada, Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia; Department of Pathology Anatomy, Faculty of Medicine, Universitas Syiah Kuala, Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia; Surgery Residency Program, Department of Surgery, Universitas Syiah Kuala, Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia
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