{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:21:44Z","timestamp":1786119704589,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hirschsprung disease is a congenital abnormality that can be surgically corrected. However, Hirschsprung-associated enterocolitis can be a life-threatening sequela. Very little has been published in the emergency medicine literature about the risk of enterocolitis and shock in patients with a history of Hirschsprung disease. We describe the case of a 6-month-old male infant with a history of multiple surgeries for Hirschsprung disease who presented to the emergency department with a seemingly benign viral gastrointestinal illness. His stable condition led him to be discharged. However, 4 days later, he returned to the emergency department with severe diarrhea and was subsequently admitted to the pediatric intensive care unit for the management of enterocolitis and shock. With this case report, we aim to raise emergency physicians\u2019 awareness of the serious and possibly fatal complications of Hirschsprung disease. We argue that this single element of a patient\u2019s medical history can alter the management of seemingly simple viral gastrointestinal illnesses; rather than be discharged, such a patient requires surgical consultation and possibly admission for close monitoring and treatment.<\/jats:p>","DOI":"10.1097\/pec.0000000000001108","type":"journal-article","created":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T00:29:53Z","timestamp":1490142593000},"page":"e131-e132","source":"Crossref","is-referenced-by-count":3,"title":["Enterocolitis in a Child With Hirschsprung Disease"],"prefix":"10.1097","volume":"35","author":[{"given":"Alexander W.D.","family":"Guillaume","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael C.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,3,21]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/MOP.0b013e328360c2a0","article-title":"Hirschsprung disease","volume":"25","year":"2013","journal-title":"Curr Opin Pediatr"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s00383-013-3353-1","article-title":"Hirschsprung-associated enterocolitis: pathogenesis, treatment and prevention","volume":"29","year":"2013","journal-title":"Pediatr Surg Int"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00383-016-3862-9","article-title":"Established and emerging concepts in Hirschsprung\u2019s-associated enterocolitis","volume":"32","year":"2016","journal-title":"Pediatr Surg Int"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1136\/emermed-2012-201635","article-title":"Another case of diarrhoea in a 7-year old","volume":"30","year":"2013","journal-title":"Emerg Med J"},{"key":"bib5-20230930","first-page":"1","article-title":"Hirschsprung associated enterocolitis","volume":"4","year":"2014","journal-title":"J Gastroint Dig Syst"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1007\/s00383-006-1639-2","article-title":"Long-term outcome of patients with enterocolitis complicating Hirschsprung\u2019s disease","volume":"22","year":"2006","journal-title":"Pediatr Surg Int"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1053\/j.sempedsurg.2012.07.007","article-title":"Hirschsprung-associated enterocolitis: prevention and therapy","volume":"21","year":"2012","journal-title":"Semin Pediatr Surg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00006565-201907000-00018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T18:53:30Z","timestamp":1786042410000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00006565-201907000-00018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,21]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001108","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3,21]]}}}