A Deeper Curse: A Hirschsprung Patient's Evaluation Unmasks a Rare Association with Congenital Central Hypoventilation Syndrome and Neuroblastoma
oleh: Shimon Eric Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa Lynn Russell, Emily C. Rutan, Harutyun Haroyan, Yong Wang, Christina Feng, Andrea Badillo, Marc A. Levitt
| Format: | Article |
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| Diterbitkan: | Georg Thieme Verlag KG 2022-01-01 |
Deskripsi
We present a rare case of a 2-year-old male patient referred for primary evaluation of constipation and ultimately treatment of Hirschsprung disease (HSCR) whose preoperative workup incidentally revealed a posterior paraspinal mass. Following the biopsy of the mass, the patient exhibited hypoventilation and hypoxia requiring a delayed extubation, raising suspicion for congenital central hypoventilation syndrome (CCHS). We focus on the known history of associations between HSCR and CCHS, in addition to recently found genetic mutations in paired-like homeobox 2B that link HSCR, CCHS, and neuroblastoma.