{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:47Z","timestamp":1740174827461,"version":"3.37.3"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Congenital hyperinsulinism (CH) is a rare disease, characterized by severe hypoglycemia induced by inappropriate insulin secretion from pancreatic beta-cells in neonate and infant. Hirschsprung\u2019s disease (HD) is also a rare disease in which infants show severe bowel movement disorder. We herein report an extremely rare case of combined CH and HD.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>The patient was a full-term male infant who showed poor feeding, vomiting, and hypotonia with lethargy on the day of birth. He was transferred to tertiary hospital after a laboratory analysis revealed hyperinsulinemic hypoglycemia. The patient showed remarkable abdominal distension without meconium defecation. An abdominal X-ray showed marked dilatation of the large bowel. He was diagnosed with CH (nesidioblastosis) associated with suspected HD. He was initially treated with an intravenous infusion of high-dose glucose with the intermittent injection of glucagon. This was successfully followed by treatment with diazoxide and octreotide (a somatostatin analog). At 8\u2009months of age, HD was confirmed by the acetylcholinesterase staining of a rectal mucosal biopsy specimen, and a transanal pull-through operation was performed to treat HD. At 14\u2009months of age, subtotal pancreatectomy was performed for the treatment of focal CH located in the pancreatic body. His postoperative course over the past 12\u2009years has been uneventful without any neurologic or bowel movement disorders.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Although it is extremely rare for CH to be associated with HD, associated HD should be considered when a patient with CH presents severe constipation.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-0778-3","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T16:02:47Z","timestamp":1578499367000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Congenital hyperinsulinism associated with Hirschsprung\u2019s disease\u2014a report of an extremely rare case"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5449-3347","authenticated-orcid":false,"given":"Takeshi","family":"Shono","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumiko","family":"Shono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiko","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Taguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Masuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kastumi","family":"Muramori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Taguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"778_CR1","doi-asserted-by":"publisher","first-page":"1671","DOI":"10.1016\/B978-0-323-02842-4.50110-8","volume-title":"Pediatric Surgery","author":"T Miyano","year":"2006","unstructured":"Miyano T. The pancreas. In: Grosfeld JL, O\u2019Neill Jr JA, Fonkalsrud EW, Coran AG, editors. Pediatric Surgery. 6th ed. Philadelphia: Mosby Elsevier; 2006. p. 1671\u201390.","edition":"6"},{"key":"778_CR2","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/B978-1-4160-6127-4.00035-5","volume-title":"Ashcraft\u2019s pediatric surgery","author":"KE Georgeson","year":"2010","unstructured":"Georgeson KE. Hirschsprung\u2019s disease. In: Holcomb III GW, Murphy JP, Ostlie DJ, editors. Ashcraft\u2019s pediatric surgery. 5th ed. Philadelphia: Saunders; 2010. p. 456\u201367.","edition":"5"},{"key":"778_CR3","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1007\/s00268-004-7598-7","volume":"28","author":"K Kaczirek","year":"2004","unstructured":"Kaczirek K, Niederle B. Nesidioblastosis: an old term and a new understanding. World J Surg. 2004;28:1227\u201330.","journal-title":"World J Surg"},{"key":"778_CR4","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/1750-1172-6-63","volume":"6","author":"JB Arnoux","year":"2011","unstructured":"Arnoux JB, Verkarre V, Saint-Martin C, Montravers F, Brassier A, Valayannopoulos V, Brunelle F, Fournet JC, Robert JJ, Aigrain Y, Bellann\u00e9-Chantelot C, de Lonlay P. Congenital hyperinsulinism: current trends in diagnosis and therapy. Orphanet J Rare Dis. 2011;6:63.","journal-title":"Orphanet J Rare Dis"},{"key":"778_CR5","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1210\/jc.2015-3651","volume":"101","author":"CA Stanley","year":"2016","unstructured":"Stanley CA. Perspective on the genetics and diagnosis of congenital hyperinsulinism disorders. 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Pancreatic anatomy in children: emphasis on its importance to pancreatectomy. 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