Rectovaginal Fistula in a 10-Year-Old With Hirschsprung Disease: A Case Report

Hirschsprung disease is an uncommon medical condition caused by the lack of migration of ganglion cells to the rectum during embryonic development, affecting the peristaltic movements of the intestine. It is a chronic medical condition responsible for chronic constipation and intestinal obstruction....

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e57316
Main Authors: Gomez Rosado, Jomaries O, Castellano, Courteney, Genao Cruz, Jossias, Esgusquiza, Jonas
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Biopsy
Births
Blood
Case reports
Chronic illnesses
Colon
Colonoscopy
Congenital diseases
Endoscopy
Feces
Fistula
Gastroenterology
General anesthesia
Hemoglobin
Inflammation
Inflammatory bowel disease
Intestinal obstruction
Magnetic resonance imaging
Ostomy
Pathology
Pediatrics
Small intestine
Trauma
Ulcers
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Summary:Hirschsprung disease is an uncommon medical condition caused by the lack of migration of ganglion cells to the rectum during embryonic development, affecting the peristaltic movements of the intestine. It is a chronic medical condition responsible for chronic constipation and intestinal obstruction. We present the case of a 10-year-old female with a history of Hirschsprung disease and colectomy admitted to a pediatric hospital for the management of multiple colonic ulcers and severe anemia who subsequently developed a rectovaginal fistula. This patient's admission was complicated by perianal and vaginal excoriations, a paralytic ileus, and fecal incontinence. This case report is unique due to the development of a rare pediatric complication of Hirschsprung disease.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.57316