Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation An 11-year-old boy with an unusually pale complexion was admitted to the pediatric department. The boy had a history of neglected constipation and worsening pale complexion since six years.
The boy was treated with iron supplements and prednisolone. During the current presentation, his history of poor appetite, difficulty in defecation, and a lesser than normal amount of dry stool was revealed. Physical examination Height: 137 cm Weight: 27.8 kg Body Mass Index (BMI): 14.81 kg/m 2 Laboratory examinations A full-thickness rectal biopsy was conducted and the pathological examination revealed hypertrophic nerve plexus without ganglion cells in the submucosa. Barium enema examination suggested…
