DOI: 10.36347/sjmcr.2020.v08i02.013

Pages: 150-153

Hirschsprung’s disease (HD) in adults is rare and often undiagnosed or misdiagnosed. We report a case of HD in a 35-year-old woman who had a history of chronic constipation that required laxatives and enemas since early childhood. Symptoms had worsened in recent months, prompting her to seek the evaluation of a proctologist. A computed tomographic scan confirmed significant fecal loading of the colon and rectum. An anal manometry revealed lack of normal rectoanal inhibitory reflex. A rectal biopsy showed aganglionic anorectum. A diagnosis of adult HD was made and treated. Hirschsprung’s disease should be considered in adults who have long-standing and refractory constipation.