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Enterocolitis Associated with Hirschsprung's DiseaseAka: Hirschsprung-Related Enterocolitis

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  1. See Also
    1. Hirschsprung's Disease
  2. Symptoms
    1. Early
      1. Abdominal distention
      2. Foul-smelling watery stools
      3. Lethargy
      4. Failure to Thrive
    2. Late
      1. Emesis or Hematochezia
      2. Fever
      3. High mortality rate
  3. Management
    1. Rectal irrigation 3-4 times daily
      1. Normal saline infused in rectum via rubber catheter
      2. Insert in steps
        1. Total infused: 10-15 cc/kg
        2. Wait for 10-15 cc to leak out of rectum
          1. Then insert cathetr further
    2. Mild cases
      1. Metronidazole
    3. Moderate to severe cases
      1. Broad spectrum IV antibiotics
  4. References
    1. Coran (2000) Am J Surg 180:382

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