Hirschprung’s disease true are :a) Sometimes found in adultb) Dilated segment involvedc) Auerbach’s plexus absentd) Sometimes involve small intestine e) Bleeding PR is usual presentation
Correct Answer: acd
Description: S. Das writes - "The symptoms appear within 3 days of birth and the presenting features are as follows:
Constipation
Abdominal distention"
Nelson writes - "The clinical symptoms of Hirschprung disease usually begin at birth with the delayed passage of meconium."
Loud borborygmi is heard due to intestinal obstruction.
About stool Nelson writes -
"The stools when passed may consist of small pelletes, may be ribbon-likel or may have fluid consistency; the large stools and fecal soiling of patients with functional constipation are absent."
Also know
a large fecal mass may be palpable in the left lower abdomen, but on rectal examination the rectum is usually empty of feces (feces in rectum are found in functional constipation).
Category:
Surgery
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