78

Published on 04/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 04/05/2015

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CASE 78

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History: A 27-year-old man has a long history of constipation dating back to his infancy.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in the figures? (Choose all that apply.)

A. Pelvic mass

B. Colon carcinoma

C. Radiation stricture

D. Hirschsprung’s disease

E. Postinflammatory stricture

2. What is the pathologic basis of Hirschsprung’s disease?

A. A segment of colonic aperistalsis

B. A segment of submucosal fibrosis

C. A segment of persistent contraction of intramural smooth muscle

D. A segment of congenitally absent ganglion cells in the distal colon

3. What other conditions is most commonly seen with Hirschsprung’s disease?

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