A Case of Obstructed Hernia Associated with Hirschsprung's Disease in a Child.

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  • Ｈｉｒｓｃｈｓｐｒｕｎｇ病に合併した小児の閉塞性ヘルニアの１例

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Abstract

An obstructed inguinal hernia associated with Hirschsprung's disease in a child is herein reported.<br>A newborn male was transferred to the hospital becaus of congenital ichtyosis and low birth weight. Since the age of 4 days, he had abdominal distension, and it continued. He was diagnosed as having Hirschsprung's disease. At 20 days after birth, bilateral inguinal hernias were noted. At the age of 9 months, he was readmitted because of severe constipation and swelling of the bilateral scrota. A contrast material enema revealed that the left scrotum contained the sigmoid colon with a considerable hard stool. Trying to reduction failed, because the stool inside the sigmoid colon was so hard that he complained of pain during the procedure. Therefore, he was diagnosed as having obstructed hernia. During a herniorrhaphy, the hard stool in the sigmoid colon was broken down into smaller parts and reduced into the connecting abdominal colon.<br>At the age of 22 months, a modified Duhamel procedure was carried out for Hirschsprung's disease. At the age of 29 months, he died of unknown cause in his own home. An autopsy was not permitted.

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