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김정용,조양식,민영돈,김성환,전홍준 朝鮮大學校 附設 醫學硏究所 1992 The Medical Journal of Chosun University Vol.17 No.2
Hirschsprung's disease is a well known cause of intestinal obstruction in infant. However, a few patients can survive until adult with this disease. The authors experienced three adult patients with Hirschsprung's disease recently. They were all suffered from constipation from infant but none of them was worked for the definitive diagnosis until their lives. They had huge dilated rectosigmoid colon and large amount of feces in it. The authors performed modified Duhamel's operation in all patients. The results were good except one with fecal fistula, which was manageable with medical treatment. We suggest that adult patient with chronic constipation,especially from infant shoud be considered Hirschsprung's disease as one of causes of chronic constipation.