Delayed Diagnosis of Hirschsprung’s Disease Causes Kidney Failure

ByMichael Talve, CEO

Updated on

Delayed Diagnosis of Hirschsprung’s Disease Causes Kidney Failure

Case Overview

This case involves a 3-year-old male patient that presented to the ER with complaints of severe abdominal pain. The patient was ultimately diagnosed with Hirschsprung’s disease but a delay in timely diagnoses likely led to many complications. The patient required a colectomy and extensive intestinal surgery to remove the diseased portion of his intestine. He now suffers from permanent renal failure and requires a kidney transplant.

Questions to the Nephrology expert and their responses

Q1

Could a more timely diagnosis have made a difference in this case?

Early diagnosis of these diseases allows for management which may prevent or at least delay the development of kidney failure. Given the morbidity and mortality of this condition, even delaying a few years means a huge difference in costs and quality of life.

About the expert

This highly qualified expert has over 30 years of experience in pediatric nephrology. He obtained his BS in premedical studies from the University of Regina in Canada, before receiving his MD from the University of Saskatchewan College of Medicine, also in Canada. He then completed two residencies in pediatrics at the IWK Hospital for Children and the Winnipeg Children's Hospital, respectively, followed by a fellowship in pediatric nephrology at the IWK Hospital for Children in Canada. This expert then moved to the United States, where he completed a second fellowship in transplantation immunology and a research fellowship in pediatric nephrology at the University of California, Los Angeles. Today, he is board-certified in pediatric nephrology. He is an active member of several professional organizations, including the American Society of Nephrology, the American Society of Transplantation, the American Society of Pediatric Nephrology, and the Association of Pediatric Program Directors. He is also very active in academia, having published 98 abstracts, 87 peer-reviewed journal articles, and 21 textbook chapters on topics related to pediatric nephrology. This expert previously served as an associate professor of pediatrics at the University of Manitoba in Canada, as a clinical professor of pediatrics, the acting head of pediatric nephrology, and the director of the pediatric nephrology fellowship program at the University of California, San Diego, and as an acting professor of pediatrics/pediatric nephrology at Stanford University. He is currently a professor of pediatrics/pediatric nephrology at a top university, an attending/consulting pediatric nephrologist at several hospitals, and the director of the cystinosis clinic, the director of the pediatric renal transplant program, and the director of the pediatric nephrology fellowship program at a top university-affiliated children's hospital in northern California.

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About the author

Michael Talve, CEO

Michael Talve, CEO

Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.

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