ABSTRACT
Hirschsprung's disease is a rare disease characterized by the complete absence of ganglionic cells in the colon, thereby causing loss of peristalsis movement of the bowel. Most cases are diagnosed before the age of one. Here, we present a case of a newborn baby boy who was not feeding well and then developed a distended abdomen and began bilious vomiting. Blood mucoid stools were also observed. The diagnosis of Hirschsprung's disease was confirmed through a full-thickness rectal biopsy, and the Duhamel surgical procedure was performed as a course of treatment all within the first few days of birth. No complications were reported, and the baby was safely discharged after seven days. This case demonstrates the importance of timely treatment after prompt diagnosis due to the early recognition of the severe symptoms. Even though this disease is rare, pediatricians should be trained to recognize and treat the child to prevent further detrimental outcomes.
ABSTRACT
Adenomyosis is a benign gynecological condition caused by the presence of the endometrial glands within the uterine walls. This phenomenon occurs due to the breakdown of the inner lining of the uterus (endometrium) through the muscle wall of the uterus (myometrium). Usual symptoms are pelvic pain and irregular vaginal bleeding. As it is defined according to histological criteria obtained from a hysterectomy, diagnosis made based on only symptoms and imaging can be challenging. Discussed here is a case of a 30-year-old woman who presented with severe pelvic pain and irregular periods. Computing imaging (CT) and blood tests initially suggested malignancy but a review of magnetic resonance imaging (MRI) scans finally concluded adenomyosis. This clinical scenario elucidates for the utmost caution in the interpretation of investigations especially for the growing number of young women with this condition urging for more accurate diagnostic tools and effective communication between clinicians.
