HIRSCHSPRUNG’S DISEASE;

Objective: To determine the frequency of Hirschsprung’s Disease associatedenterocolitis in pre and post operative patients. Place and Duration of Study: Nishtar Hospitaland Ibn-e-Sina Hospital, Multan from January 2008 to June 2012. Methodology: A total numberof 114 patients aged from less than 6 months to more than 5 years were diagnosed and treated forHirschsprung’s Disease after rectal biopsy and internal sphinterotomy. Results: In total of 114patients 32 (28%) developed enterocolitis before and 5 (18.5%) after definite surgery.Conclusions: The results of this study implicates that the early diagnosis and to make measuresto decrease the post pull-through anastomostic anorectal stenosis can reduce the frequency ofpre and post operative Hirschsprung’s disease associated enterocolitis.

Rectal mucocoele following subtotal colectomy for colitis

We present a unique case of a rectal mucocoele affecting a patient several years after his subtotal colectomy for ulcerative colitis. This was secondary to both a benign anorectal stenosis and a benign mucus secreting rectal adenoma. This case highlights the importance of surveillance in such patients.