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One month later, he re-presented with abdominal distension. Urgent total colectomy and ileostomy were performed. He recovered after ICU care and was discharged with a functioning ileostomy. This case underscores complications of incomplete resection in adult HD and the need for vigilant follow-up.<\/jats:p>","DOI":"10.1093\/jscr\/rjag519","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:44:23Z","timestamp":1781178263000},"source":"Crossref","is-referenced-by-count":0,"title":["Adult Hirschsprung disease: salvage to total colectomy \u2013 a rare case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-9558","authenticated-orcid":false,"given":"Saurav","family":"Poudel","sequence":"first","affiliation":[{"name":"Department of Gastrosurgery, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachina","family":"Belbase","sequence":"additional","affiliation":[{"name":"Department of Gastrosurgery, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal Bikram","family":"Deo","sequence":"additional","affiliation":[{"name":"Department of Gastrosurgery, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anusha","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Department of Gastrosurgery, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmita","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Pathology, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivesh","family":"Batajoo","sequence":"additional","affiliation":[{"name":"Department of Gastrosurgery, Nobel Medical College Teaching Hospital , Kanchanbari, Morang, Biratnagar-4, 56113 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062716062810100_ref1","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1097\/SMJ.0b013e31817be9c6","article-title":"Adult segmental Hirschsprung disease","volume":"102","author":"Y\u00fcksel","year":"2009","journal-title":"South Med J"},{"key":"2026062716062810100_ref2","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/s0009-9260(05)80191-6","article-title":"Adult Hirschsprung's disease","volume":"44","author":"Crocker","year":"1991","journal-title":"Clin Radiol"},{"key":"2026062716062810100_ref3","doi-asserted-by":"publisher","first-page":"zraf107","DOI":"10.1093\/bjsopen\/zraf107","article-title":"Long-term effects of Hirschsprung disease in adults: meta-analysis and patient-level regression study","volume":"9","author":"Andres","year":"2025","journal-title":"BJS Open"},{"key":"2026062716062810100_ref4","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1186\/s13256-023-03986-y","article-title":"Adult Hirschsprung\u2019s disease presenting as chronic constipation: a case report","volume":"17","author":"Rahardjo","year":"2023","journal-title":"J Med Case Reports"},{"key":"2026062716062810100_ref5","doi-asserted-by":"publisher","first-page":"5328","DOI":"10.1016\/j.radcr.2024.08.011","article-title":"Ultrashort segment adult Hirschsprung disease: a case report of periodic abdominal distension and constipation spanning for more than 20 years","volume":"19","author":"Jha","year":"2024","journal-title":"Radiol Case Rep"},{"key":"2026062716062810100_ref6","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1016\/j.anndiagpath.2006.03.017","article-title":"Hirschsprung\u2019s disease in a young adult: report of a case and review of the literature","volume":"10","author":"Chen","year":"2006","journal-title":"Ann Diagn Pathol"},{"key":"2026062716062810100_ref7","doi-asserted-by":"publisher","first-page":"152","DOI":"10.23937\/2469-5807\/1510152","volume":"10","author":"Pangarkar M, Nasare A, Pagey R. Adult Hirschsprung's disease - a case report","year":"2024","journal-title":"Int J Pathol Clin Res"},{"key":"2026062716062810100_ref8","doi-asserted-by":"publisher","first-page":"110908","DOI":"10.1016\/j.ijscr.2025.110908","volume":"128","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"2026062716062810100_ref9","doi-asserted-by":"publisher","first-page":"870342","DOI":"10.3389\/fmed.2022.870342","article-title":"The classification and surgical treatments in adult Hirschsprung's disease: a retrospective study","volume":"9","author":"Wang","year":"2022","journal-title":"Front Med (Lausanne)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag519\/68633597\/rjag519.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag519\/68633597\/rjag519.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T20:06:33Z","timestamp":1782590793000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag519\/8719654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag519","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag519"}}