Hirschsprung’s Disease in Adult Revealed by an Occlusive Syndrome: A Case Report

Hirschsprung's disease is a rare congenital disorder that primarily affects the rectosigmoid or rectal segments of the large intestine, resulting in abnormal motor function, persistent contraction of the aganglionic segment, and eventual dilation (mega-colon). While typically diagnosed in infancy or early childhood, it can also occur in adults and can be challenging to diagnose due to its rarity and production of mild symptoms in early stages. We present a case of an adult patient who was diagnosed with HD after experiencing constipation for 2 decades, leading to an occlusive syndrome. Clinical, radiographic, and computed tomography findings play a crucial role in diagnosing and managing this rare disorder in adults. Surgical resection of the aganglionic segment is the mainstay of treatment, and early intervention is crucial to prevent complications.