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{
    "pk": 895,
    "title": "Hirschsprung’s Disease: A Rare Adult Diagnosis",
    "subtitle": null,
    "abstract": "Case Presentation:\n Approximately 94% of patients with Hirschsprung’s disease (HD) are diagnosed before the age of five. In our case, a young adult with years of constipation presented to the emergency department with significant abdominal distention. He was ultimately diagnosed with HD, which was identified using computed tomography (CT).\nDiscussion:\n In HD, we find defects in gastric motility due to improper gut colonization. Without childhood recognition, HD often leads to chronic constipation and failure to thrive in adulthood. CT is a key step in identifying this rare adult diagnosis that should be considered in all patients with a history of chronic constipation.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Hirschsprung’s disease"
        },
        {
            "word": "chronic constipation"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8hp2w6tr",
    "frozenauthors": [
        {
            "first_name": "Kaitlyn",
            "middle_name": "",
            "last_name": "Schmutz",
            "name_suffix": "",
            "institution": "Duke University Hospital, Department of Emergency Medicine, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Gaea",
            "middle_name": "",
            "last_name": "McGaig",
            "name_suffix": "",
            "institution": "Rex Hospital, Department of Emergency Medicine, Raleigh, North Carolina",
            "department": "None"
        },
        {
            "first_name": "B. Jason",
            "middle_name": "",
            "last_name": "Theiling",
            "name_suffix": "",
            "institution": "Duke University School of Medicine, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2020-07-31T03:35:11+08:00",
    "date_accepted": "2020-07-31T03:35:11+08:00",
    "date_published": "2020-07-31T03:39:47+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/895/galley/643/download/"
        }
    ]
}