2010
DOI: 10.1016/j.jfms.2010.04.001
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Congenital Large Intestinal Hypoganglionosis in a Domestic Shorthair Kitten

Abstract: This appears to be the first reported case of congenital hypoganglionosis in a kitten with histopathological confirmation of the diagnosis. It may potentially be a more common cause of constipation in kittens and young cats than has previously been suspected.

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Cited by 8 publications
(4 citation statements)
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References 10 publications
(11 reference statements)
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“…Histopathological examination of the colon revealed a segmental, distal hypoganglionosis with hypertrophy of the musculature and nerve fibers, as well as chronic inflammation with the formation of granulation tissue. These findings resemble another case report of a kitten with congenital colonic hypoganglionosis [ 22 ] and the diagnostic criteria for the congenital megacolon, known as “Hirschsprung’s disease” (HSCD) in humans [ 23 ]. The aganglionosis, seen in HSCD, is occasionally seen together with complex skeletal malformations [ 24 ] and could be caused by impaired migration and differentiation of neural stem cells from the neural crest [ 25 ].…”
Section: Discussionsupporting
confidence: 80%
“…Histopathological examination of the colon revealed a segmental, distal hypoganglionosis with hypertrophy of the musculature and nerve fibers, as well as chronic inflammation with the formation of granulation tissue. These findings resemble another case report of a kitten with congenital colonic hypoganglionosis [ 22 ] and the diagnostic criteria for the congenital megacolon, known as “Hirschsprung’s disease” (HSCD) in humans [ 23 ]. The aganglionosis, seen in HSCD, is occasionally seen together with complex skeletal malformations [ 24 ] and could be caused by impaired migration and differentiation of neural stem cells from the neural crest [ 25 ].…”
Section: Discussionsupporting
confidence: 80%
“…In this case, there was an initial high index of suspicion for a congenital rectal stricture based on the relatively abrupt termination of the dilated portion of colon seen on radiographs and because of the findings on digital rectal examination. Congenital large intestinal hypoganglionosis has been previously described in a kitten and was initially considered as a differential for this cat 1. Given the age of the patient and duration of clinical signs (likely since birth), an acquired stricture due to colonic inflammation, neoplastic disease and idiopathic acquired megacolon were considered very unlikely.…”
Section: Discussionmentioning
confidence: 99%
“…A single case diagnosed on postmortem histopathology was recently reported in a kitten (Roe et al 2010). The underlying patho physiology in Hirschsprung disease is congenital absence of intramural myenteric ganglion cells in the submucosal plexus (part of the parasympathetic nervous system) that leads to loss of peristaltic activity (segmental aganglionic megacolon).…”
Section: Congenital Megacolon (Hirschsprung Disease)mentioning
confidence: 99%