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Most Possible Diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Nov 11, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is the most possible diagnosis ?

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  2. Chriss

    Chriss Well-Known Member

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    Hirschsprung disease
     

  3. neo_star

    neo_star Moderator

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    I second the diagnosis by Chriss !

    Absence of gas shadow in lower pelvis region i.e, empty rectum! or distal cut-off sign ! The abrupt cut - off and a proximal dilated descending and transverse colon are further proof to the diagnosis.

    So my diagnosis is -Hirschsprung disease aka congenital megacolon !

    More usually one would see some air - fluid levels proximal to the obstruction ( not evident in this case ). So in another case u may just see a lot of distended bowel ( with air - fluid levels ) which could well overlap and obscure the area of the recto-sigmoid and the cut-off may be not that clear, like in the example below

    [​IMG]

    In such cases, the absence of gas in the lower abdomen ( and of course the Hx ) holds the clue !

    (-:
     

    Last edited: Nov 11, 2012
  4. dupuytren

    dupuytren Bronze Member

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    congenital megacolon
     

  5. beakardos

    beakardos Famous Member

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    congenital megacolon
     

  6. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Hirschsprung disease(HD)
     

  7. dr.angela

    dr.angela Bronze Member

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    Morbus Hirschsprung
     

  8. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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  9. Rocket Queen

    Rocket Queen Super Moderator

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    Congenital megacolon
     

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