Differentiating Hirschsprung's Disease from other Diseases: Difference between revisions
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==Overview== | ==Overview== | ||
Hirschsprung disease must be differentiated from other diseases that cause failure to pass [[meconium]] | Hirschsprung's disease must be differentiated from other diseases that cause failure to pass [[meconium]] or [[abdominal distension]] in infants, include: [[meconium plug syndrome]], [[small left colon syndrome]], and [[congenital hypothyroidism]]. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Hirschsprung's disease must be differentiated from other diseases in infancy presenting with similar features, include: failure to pass [[meconium]], [[abdominal distension]], and non-bilious vomiting. | |||
*[[Meconium plug syndrome]] | *[[Meconium plug syndrome]] | ||
*[[Small left colon syndrome]] | *[[Small left colon syndrome]] | ||
*[[Intestinal atresia|Distal small | *[[Intestinal atresia|Distal small intestine/colon atresia]] | ||
*[[Meconium ileus]] and [[cystic fibrosis]] complex | *[[Meconium ileus]] and [[cystic fibrosis]] complex | ||
Revision as of 16:44, 27 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Hirschsprung's disease must be differentiated from other diseases that cause failure to pass meconium or abdominal distension in infants, include: meconium plug syndrome, small left colon syndrome, and congenital hypothyroidism.
Differential Diagnosis
Hirschsprung's disease must be differentiated from other diseases in infancy presenting with similar features, include: failure to pass meconium, abdominal distension, and non-bilious vomiting.
- Meconium plug syndrome
- Small left colon syndrome
- Distal small intestine/colon atresia
- Meconium ileus and cystic fibrosis complex
Disease | Prominent clinical features | Radiological findings |
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Meconium plug syndrome |
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Small left colon syndrome |
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Distal small bowel /colonic atresia |
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Meconium ileus |
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Congenital hypothyroidism[5] | *Most infants are born asymptomatic.[5]
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References
- ↑ Keckler SJ, St Peter SD, Spilde TL, Tsao K, Ostlie DJ, Holcomb GW, Snyder CL (2008). "Current significance of meconium plug syndrome". J. Pediatr. Surg. 43 (5): 896–8. doi:10.1016/j.jpedsurg.2007.12.035. PMC 3086204. PMID 18485962.
- ↑ Berdon WE, Slovis TL, Campbell JB, Baker DH, Haller JO (1977). "Neonatal small left colon syndrome: its relationship to aganglionosis and meconium plug syndrome". Radiology. 125 (2): 457–62. doi:10.1148/125.2.457. PMID 910057.
- ↑ Spitz L (2006). "Observations on the origin of congenital intestinal atresia". S. Afr. Med. J. 96 (9 Pt 2): 864. PMID 17077911.
- ↑ HOLSCLAW DS, ECKSTEIN HB, NIXON HH (1965). "MECONIUM ILEUS. A 20-YEAR REVIEW OF 109 CASES". Am. J. Dis. Child. 109: 101–13. PMID 14237408.
- ↑ 5.0 5.1 "Elementary school performance of children with congenital hypothyroidism. New England Congenital Hypothyroidism Collaborative". J. Pediatr. 116 (1): 27–32. 1990. PMID 2295961.