eMedicine Specialties > Radiology > Pediatrics

Hirschsprung Disease: Multimedia

Author: Ciro Yoshida, Jr, MD, Staff Physician, Department of Diagnostic Imaging, Federal University of São Paulo (UNIFESP)
Coauthor(s): Salomao Faintuch, MD, Clinical Fellow, Department of Vascular and Interventional Radiology, Beth Israel Deaconess Medical Center; Henrique M Lederman, MD, PhD, Consulting Staff, Department of Radiology, LeBonheur Children's Medical Center and St Jude Children's Research Hospital; Professor of Radiology and Pediatric Radiology, Chief, Division of Diagnostic Imaging in Pediatrics, Federal University of Sao Paulo, Brazil
Contributor Information and Disclosures

Updated: Sep 17, 2008

Multimedia

(Enlarge Image)

Media file 1: Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum.

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Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum.

(Enlarge Image)

Media file 2: Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the small bowel with no gas in the rectum.

[ CLOSE WINDOW ]

Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the small bowel with no gas in the rectum.

(Enlarge Image)

Media file 3: Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum. In the sitting position, air-fluid levels in the large bowel are seen.

[ CLOSE WINDOW ]

Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum. In the sitting position, air-fluid levels in the large bowel are seen.

(Enlarge Image)

Media file 4: Hirschsprung disease. Lateral abdominal radiograph shows a very enlarged, stool-filled sigmoid. No air or stool content is seen in the rectum.

[ CLOSE WINDOW ]

Hirschsprung disease. Lateral abdominal radiograph shows a very enlarged, stool-filled sigmoid. No air or stool content is seen in the rectum.

(Enlarge Image)

Media file 5: Hirschsprung disease. Barium enema technique shows slow contrast-material infusion.

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Hirschsprung disease. Barium enema technique shows slow contrast-material infusion.

(Enlarge Image)

Media file 6: Hirschsprung disease. Lateral view from a barium enema examination depicting the reduced diameter of the rectum and sigmoid.

[ CLOSE WINDOW ]

Hirschsprung disease. Lateral view from a barium enema examination depicting the reduced diameter of the rectum and sigmoid.

(Enlarge Image)

Media file 7: Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

[ CLOSE WINDOW ]

Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

(Enlarge Image)

Media file 8: Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

[ CLOSE WINDOW ]

Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

(Enlarge Image)

Media file 9: Hirschsprung disease. A 24-hour-delayed radiograph obtained after a barium enema examination shows retention of barium and stool in the rectum. This is associated with a dilated stool-filled sigmoid.

[ CLOSE WINDOW ]

Hirschsprung disease. A 24-hour-delayed radiograph obtained after a barium enema examination shows retention of barium and stool in the rectum. This is associated with a dilated stool-filled sigmoid.

(Enlarge Image)

Media file 10: Hirschsprung disease. Barium enema showing reduced caliber and length of the large bowel, with no clear transition zone (total colonic aganglionosis).

[ CLOSE WINDOW ]

Hirschsprung disease. Barium enema showing reduced caliber and length of the large bowel, with no clear transition zone (total colonic aganglionosis).

(Enlarge Image)

Media file 11: Hirschsprung disease. Barium enema showing a reduced-caliber rectum and dilated large-bowel loops with an irregular mucosal contour (dyskinesia).

[ CLOSE WINDOW ]

Hirschsprung disease. Barium enema showing a reduced-caliber rectum and dilated large-bowel loops with an irregular mucosal contour (dyskinesia).

(Enlarge Image)

Media file 12: Hirschsprung disease. Plain abdominal radiograph showing dilatation of the transverse colon and mucosal edema (toxic megacolon).

[ CLOSE WINDOW ]

Hirschsprung disease. Plain abdominal radiograph showing dilatation of the transverse colon and mucosal edema (toxic megacolon).

More on Hirschsprung Disease

Overview: Hirschsprung Disease

Imaging: Hirschsprung Disease

Follow-up: Hirschsprung Disease

Multimedia: Hirschsprung Disease

References

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Amiel J, Lyonnet S. Hirschsprung disease, associated syndromes, and genetics: a review. J Med Genet. Nov 2001;38(11):729-39. [Medline]. [Full Text].
Amiel J, Sproat-Emison E, Garcia-Barcelo M, et al. Hirschsprung disease, associated syndromes and genetics: a review. J Med Genet. Jan 2008;45(1):1-14. [Medline].
de Lorijn F, Boeckxstaens GE, Benninga MA. Symptomatology, pathophysiology, diagnostic work-up, and treatment of Hirschsprung disease in infancy and childhood. Curr Gastroenterol Rep. Jun 2007;9(3):245-53. [Medline].
Coran AG, Teitelbaum DH. Recent advances in the management of Hirschsprung's disease. Am J Surg. Nov 2000;180(5):382-7. [Medline].
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Carty H, Shaw D, Brunelle F. Imaging Children. Edinburgh, Scotland: Churchill Livingstone; 1994:288-91.
de Lorijn F, Kremer LC, Reitsma JB, et al. Diagnostic tests in Hirschsprung disease: a systematic review. J Pediatr Gastroenterol Nutr. May 2006;42(5):496-505. [Medline].
Erwin CR, Warner BW. Hirschsprung lost his nerve. Gastroenterology. Dec 2003;125(6):1900-2. [Medline].
Feldman T, Wershil BK. In brief: Hirschsprung disease. Pediatr Rev. Aug 2006;27(8):e56-7. [Medline].
Grainger RG, Allison DJ, Adrian DK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 3^rd ed. Edinburgh, Scotland: Churchill Livingstone; 1997:1119-21.
Guidone P, Thomason M, Buonomo C, et al. Pediatric case of the day. Total colonic Hirschsprung's disease. AJR Am J Roentgenol. Sep 1999;173(3):815, 819-20. [Medline].
Kessmann J. Hirschsprung's disease: diagnosis and management. Am Fam Physician. Oct 15 2006;74(8):1319-22. [Medline]. [Full Text].
Maia DM. Diagnosis of Hirschsprung's disease. Pediatr Pathol Lab Med. Mar-Apr 1997;17(2):329-30. [Medline].
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Seaman SL, Goodwin P, Daniel J, et al. Hirschsprung's disease: a difficult diagnosis. Tex Med. Dec 1987;83(12):37-9. [Medline].
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Torfs CP. An Epidemiological Study of Hirschsprung Disease in a Multiracial California Population. The Third International Meeting: Hirschsprung Disease and Related Neurocristopathies, Evian, France. 1998.

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Keywords

Hirschsprung disease, congenital megacolon, aganglionic megacolon, aganglionosis, HD, Hirschsprung's disease, transition zone, Swenson procedure, Soave pull-through procedure, Duhamel procedure, Hirschsprung-associated enterocolitis, Hirschsprung's-associated enterocolitis, HAEC, neurocristopathy

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Contributor Information and Disclosures

Author

Ciro Yoshida, Jr, MD, Staff Physician, Department of Diagnostic Imaging, Federal University of São Paulo (UNIFESP)
Disclosure: Nothing to disclose.

Coauthor(s)

Salomao Faintuch, MD, Clinical Fellow, Department of Vascular and Interventional Radiology, Beth Israel Deaconess Medical Center
Salomao Faintuch, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Cardiovascular and Interventional Radiology
Disclosure: Nothing to disclose.

Henrique M Lederman, MD, PhD, Consulting Staff, Department of Radiology, LeBonheur Children's Medical Center and St Jude Children's Research Hospital; Professor of Radiology and Pediatric Radiology, Chief, Division of Diagnostic Imaging in Pediatrics, Federal University of Sao Paulo, Brazil
Henrique M Lederman, MD, PhD is a member of the following medical societies: Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Robert J Starshak, MD, Medical Director, Assistant Clinical Professor, Department of Radiology, Medical College of Wisconsin, Falls Medical Group
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David A Stringer, BSc, MBBS, FRCR, FRCPC, Professor, National University of Singapore; Head, Diagnostic Imaging, KK Women's and Children's Hospital, Singapore
David A Stringer, BSc, MBBS, FRCR, FRCPC is a member of the following medical societies: British Columbia Medical Association, Canadian Association of Radiologists, European Society of Paediatric Radiology, Ontario Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Society for Pediatric Radiology
Disclosure: Sirius d'innovation None Board membership

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

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eMedicine Specialties > Radiology > Pediatrics

Hirschsprung Disease: Multimedia

Multimedia

Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum.

Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the small bowel with no gas in the rectum.

Hirschsprung disease. Frontal abdominal radiograph showing marked dilatation of the bowel with no gas in the rectum. In the sitting position, air-fluid levels in the large bowel are seen.

Hirschsprung disease. Lateral abdominal radiograph shows a very enlarged, stool-filled sigmoid. No air or stool content is seen in the rectum.

Hirschsprung disease. Barium enema technique shows slow contrast-material infusion.

Hirschsprung disease. Lateral view from a barium enema examination depicting the reduced diameter of the rectum and sigmoid.

Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

Hirschsprung disease. Barium enema showing reduced caliber of the rectum, followed by a transition zone to an enlarged-caliber sigmoid.

Hirschsprung disease. A 24-hour-delayed radiograph obtained after a barium enema examination shows retention of barium and stool in the rectum. This is associated with a dilated stool-filled sigmoid.

Hirschsprung disease. Barium enema showing reduced caliber and length of the large bowel, with no clear transition zone (total colonic aganglionosis).

Hirschsprung disease. Barium enema showing a reduced-caliber rectum and dilated large-bowel loops with an irregular mucosal contour (dyskinesia).

Hirschsprung disease. Plain abdominal radiograph showing dilatation of the transverse colon and mucosal edema (toxic megacolon).

More on Hirschsprung Disease

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Coauthor(s)

Medical Editor

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor