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Enterocolitis Associated with Hirschsprung's Disease
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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]
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