Vaginal Delivery in Hirschsprung's disease complicating pregnancy.

Chang, Bo Seung; Kim, Seung Chan; Youn, Young Eun; Park, Mi Sun; Park, Ok Rang; Kim, Dong Ja

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(10):2428-2433.
Published online October 1, 2005.

Vaginal Delivery in Hirschsprung's disease complicating pregnancy.

Bo Seung Chang, Seung Chan Kim, Young Eun Youn, Mi Sun Park, Ok Rang Park, Dong Ja Kim

¹Department of Obstetrics and Gynecology, Daegu Fatima Hospital, Daegu, Korea. bschang74@hanmail.net
²Department of Pathology, Daegu Fatima Hospital, Daegu, Korea.

Abstract

Bowel obstruction is a rare complication of pregnancy. The usual causes include previous abdominal surgery, volvulus, intussusception, colonic neoplasm, or the enlarging uterus. Bowel obstruction secondary to uncorrected Hirschsprung's disease as a complication of pregnancy is difficult to diagnosis, its occurrence can have grave implications for both mother and fetus, and anticipation of dystocia. Hirschsprung's disease is diagnosed and treated in the neonatal period. Persistence of Hirschsprung's disease into adulthood is very rare and confirmed by rectal biopsy providing the absence of the ganglion cell in Auerbach and Meissner's plexus. We experienced vaginal Delivery in Hirschsprung's disease complicating pregnancy and report our own case study with a brief literature review.

Key Words: Bowel obstruction, Hirschsprung's disease, Vaginal delivery