Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2016; 22(41): 9235-9241
Published online Nov 7, 2016. doi: 10.3748/wjg.v22.i41.9235
Reoperation in an adult female with "right-sided" Hirschsprung's disease complicated by refractory hypertension and cough
Zhi-Jian Wei, Lei Huang, A-Man Xu
Zhi-Jian Wei, Lei Huang, A-Man Xu, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Lei Huang, German Cancer Research Center, 69120 Heidelberg, Germany
A-Man Xu, Department of General Surgery, The Fourth Affiliated Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China
Author contributions: All authors diagnosed and treated the patients, acquired the data, and wrote and revised the paper; Wei ZJ and Huang L contributed equally to this work.
Supported by National Natural Science Foundation of China, No. 81572350.
Institutional review board statement: This case report was approved by the Institutional Review Board in The First Affiliated Hospital of Anhui Medical University in Hefei.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her health information.
Conflict-of-interest statement: All the authors have no conflict-of-interest to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: A-Man Xu, MD, Professor, Department Head, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei 230022, Anhui Province, China. amanxu@163.com
Telephone: +86-551-65334247 Fax: +86-551-63633742
Received: June 27, 2016
Peer-review started: June 27, 2016
First decision: August 8, 2016
Revised: August 17, 2016
Accepted: September 6, 2016
Article in press: September 6, 2016
Published online: November 7, 2016
Core Tip

Core tip: Hirschsprung’s disease (HD) is most common in male infant, and is usually left-sided. Herein we reported a case of a 47-year-old adult female suffering from “right-sided” recurrent HD complicated by refractory hypertension and cough and receiving reoperation. The patient with digestive unfitnesses only since 20 years old had recurrence of HD after the initial surgery due to the incomplete removal of the HD-affected bowel. At her admission to our department, right hemi-colectomy was performed to completely remove the remnant aganglionic intestinal segment, which was confirmed by intraoperative pathology. Post-operation, the patient’s bowel motility significantly improved, and interestingly, the complications disappeared.