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Enterocolitis Associated with Hirschsprung's Disease
Aka: Enterocolitis Associated with Hirschsprung's Disease, Hirschsprung-Related Enterocolitis
- See Also
- Hirschsprung's Disease
- Symptoms
- Early
- Abdominal distention
- Foul-smelling watery stools
- Lethargy
- Failure to Thrive
- Late
- Emesis or Hematochezia
- Fever
- High mortality rate
- Management
- Rectal irrigation 3-4 times daily
- Normal Saline infused in Rectum via Rubber catheter
- Insert in steps
- Total infused: 10-15 cc/kg
- Wait for 10-15 cc to leak out of Rectum
- Then insert cathetr further
- Mild cases
- Metronidazole
- Moderate to severe cases
- Broad spectrum IV antibiotics
- References
- Coran (2000) Am J Surg 180:382-7 [PubMed]