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Radiology, Vol 160, 623-625, Copyright © 1986 by Radiological Society of North America

ARTICLES

Adult Hirschprung disease: radiographic findings

RE Mindelzun and SM Hicks

Hirschprung disease is usually diagnosed in infancy. Occasionally patients reach adulthood without diagnosis or treatment. Four cases of adult Hirschprung disease are described. The principal radiographic findings are a markedly dilated, feces-filled colon above the zone of transition; a narrowed rectum; a cone- or funnel-shaped zone of transition; and a mosaic colonic pattern caused by collapsed redundant mucosa after colonic cleansing. In an adult, identification on a barium enema examination of an abrupt, smooth transition zone in the rectum with proximal colonic dilatation, in conjunction with an appropriate clinical history, should suggest the diagnosis of adult Hirschprung disease.


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H. J. Kim, A. Y. Kim, C. W. Lee, C. S. Yu, J.-S. Kim, P. N. Kim, M.-G. Lee, and H. K. Ha
Hirschsprung Disease and Hypoganglionosis in Adults: Radiologic Findings and Differentiation
Radiology, May 1, 2008; 247(2): 428 - 434.
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