Most common presentation of Hirschsprung's disease: (A) Abdominal distention, (B) Vomiting, (C) Failure to pass meconium, (D) Failure to thrive
Answer is A. Clinical Presentation Neonates First few weeks of life Otherwise healthy children and adults Suspected in all neonates presenting with: Delayed passage of meconium beyond the first 24 hours of lifeQ Abdominal distension following feedsQ Suspected in any child presenting in first few weeks of life with: Gross abdominal distensionQ Chronic constipationQ Failure to thriveQ Sho segment Hirschprung disease should be suspected in otherwise healthy children and adultsQ presenting with: Severe constipation without fecal soilingQ Faecal soiling is usually not a feature of this condition. Investigation of choice - Rectal Biopsy (Suction Biopsy > full Thickness Biopsy)