Korean J Obstet Gynecol.  2005 Oct;48(10):2428-2433.

Vaginal Delivery in Hirschsprung's disease complicating pregnancy

• Chang BS
• Kim SC
• Youn YE
• Park MS
• Park OR
• Kim DJ

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.

Keyword

Bowel obstruction; Hirschsprung's disease; Vaginal delivery

MeSH Terms

Biopsy
Colonic Neoplasms
Diagnosis
Dystocia
Female
Fetus
Ganglion Cysts
Hirschsprung Disease*
Humans
Intestinal Volvulus
Intussusception
Mothers
Pregnancy*
Submucous Plexus
Uterus