Diagnostic problems of hirschsprung’s disease in neonates: clinical examples

Hirschsprungs disease usually manifests from the first days of life and is diagnosed in the newborn period. In some patients Hirschsprungs disease cant be diagnosed in the newborn period because of different forms of disease and clinical features. From 2008 to 2019 75 patients with Hirschsprungs disease were operated in the City Childrens Hospital No. 1. 21 patients had delayed diagnosis. 11 newborns didnt have very clear clinical symptoms, intestinal obstruction disappeared after decompression. 2 patients with associated chromosomal disorders were diagnosed with Hirschsprungs disease later because of. In some of older patients disease manifested with severe constipations. Also, we presented some clinical cases of major diagnostic errors in patients with Hirschsprungs disease. Conclusion. Diagnostic errors in patients with Hirschsprungs disease are associated with the lack of alertness of neonatologists and inadequate interpretation of clinical manifestations and X-ray study. For many years these children can be treated by different specialists before having surgical consult.