raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:388

Hirschsprung disease

Synonyms: Aganglionic megacolon · Colonic aganglionosis · Congenital intestinal aganglionosis · HSCR

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, Multigenic/multifactorial, Not applicable
Age of onset
Childhood, Infancy, Neonatal
Status
active

A rare congenital intestinal motility disorder that is characterized by signs of intestinal obstruction due to the presence of an aganglionic segment of variable extent in the terminal part of the colon.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHirschsprung diseaseAganglionic megacolon · Colonic aganglionosis · Congenital intestinal aganglionosis · HSCR
frMaladie de HirschsprungAganglionose du côlon · Aganglionose intestinale congénitale · HSCR · Mégacôlon aganglionique
deHirschsprung-KrankheitAganglionose, intestinale kongenitale · HSCR · Megakolon, aganglionotisches
esEnfermedad de HirschsprungAganglionosis colónica · Aganglionosis intestinal congénita · HSCR · Megacolon agangliónico
itMalattia di HirschsprungAganglionosi del colon · Aganglionosi intestinale congenita · HSCR · Megacolon aganglionico
nlZiekte van HirschsprungAganglionair megacolon · Aganglionose van colon · Congenitale intestinale aganglionose · HSCR
ptDoença de HirschsprungAgangliose intestinal congénita · Megacolon agangliónico
plChoroba HirschsprungaAganglioza okrężnicy · HSCR · Wrodzona aganglionoza jelit
csHirschsprungova nemocAganglionické megakolon · HSCR · Megacolon congenitum, forma Hirschsprungova nemoc · Vrozená střevní aganglionóza
ukХвороба ГіршпрунгаАгангліонарний мегаколон · Агангліоноз товстої кишки · Вроджений агангліоноз кишечника · HSCR
zh先天性巨结肠先天性肠神经节细胞缺失症
trHirschsprung hastalığıHSCR · Aganglionik megakolon · Doğumsal bağırsak aganglionozu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM142623BTNTvalidated
OMIM600155BTNTvalidated
OMIM600156BTNTvalidated
OMIM606874BTNTvalidated
OMIM606875BTNTvalidated
OMIM608462BTNTvalidated
OMIM611644BTNTvalidated
OMIM613711BTNTvalidated
OMIM613712BTNTvalidated
OMIM613870BTNTvalidated
ICD-10Q43.1Especificvalidated
ICD-11LB16.1Especificvalidated
MONDO0018309Evalidated
MeSHD006627Evalidated
UMLSC0019569Evalidated
GARD6660Evalidated
MedDRA10010539Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

14 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ABCD1Disease-causing germline mutation(s) inAssessedHGNC:61ENSG00000101986300371Xq28ATP binding cassette subfamily D member 133151932[PMID]
ATP7ADisease-causing germline mutation(s) inAssessedHGNC:869ENSG00000165240300011Xq21.1ATPase copper transporting alpha33151932[PMID]
ERBB2Disease-causing germline mutation(s) inAssessedHGNC:3430ENSG0000014173616487017q12erb-b2 receptor tyrosine kinase 233497358[PMID]
ERBB3Disease-causing germline mutation(s) inAssessedHGNC:3431ENSG0000006536119015112q13.2erb-b2 receptor tyrosine kinase 333497358[PMID]
RETDisease-causing germline mutation(s) inAssessedHGNC:9967ENSG0000016573116476110q11.21ret proto-oncogene31609069[PMID]
SMODisease-causing germline mutation(s) inAssessedHGNC:11119ENSG000001286026015007q32.1smoothened, frizzled class receptor32413283[PMID]
SREBF1Disease-causing germline mutation(s) inAssessedHGNC:11289ENSG0000007231018475617p11.2sterol regulatory element binding transcription factor 133151932[PMID]
ECE1Major susceptibility factor inAssessedHGNC:3146ENSG000001172986004231p36.12endothelin converting enzyme 120301612[PMID]
EDN3Major susceptibility factor inAssessedHGNC:3178ENSG0000012420513124220q13.32endothelin 320301612[PMID]
EDNRBMajor susceptibility factor inAssessedHGNC:3180ENSG0000013616013124413q22.3endothelin receptor type B20301612[PMID]
GDNFMajor susceptibility factor inAssessedHGNC:4232ENSG000001686216008375p13.2glial cell derived neurotrophic factor20301612[PMID]
NRTNMajor susceptibility factor inAssessedHGNC:8007ENSG0000017111960201819p13.3neurturin20301612[PMID]
SEMA3CMajor susceptibility factor inAssessedHGNC:10725ENSG000000752236026457q21.11semaphorin 3C25839327[PMID]
SEMA3DMajor susceptibility factor inAssessedHGNC:10726ENSG000001539936099077q21.11semaphorin 3D25839327[PMID]
5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-5 / 10 00013.2 / 100 000EuropeValue and classValidated25066220[PMID]
Prevalence at birth1-5 / 10 00021 / 100 000United StatesValue and classValidated27702942[PMID]
Point prevalence1-5 / 10 00013.2 / 100 000EuropeValue and classValidated25066220[PMID]_ORPHANET
Point prevalence1-5 / 10 00015 / 100 000WorldwideValue and classValidated31644668[PMID]_27702942[PMID]_ORPHANET
Prevalence at birth1-5 / 10 00022 / 100 000Taiwan, Province of ChinaValue and classValidated27118113[PMID]
Prevalence at birth1-5 / 10 00015 / 100 000WorldwideValue and classValidated31644668[PMID]_27702942[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

19 annotations · validated 2024-07-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002027Abdominal pain
HP:0002251Aganglionic megacolon
HP:0002019Constipation
HP:0012719Functional abnormality of the gastrointestinal tract
HP:0005214Intestinal obstruction
HP:0002017Nausea and vomiting
Frequent (79-30%)
HP:0003270Abdominal distention
HP:0034754Bilious emesis
HP:6000224Delayed passage of meconium
HP:0011968Feeding difficulties
HP:0001824Weight loss
Occasional (29-5%)
HP:0031369Colon perforation
HP:0002014Diarrhea
HP:0004387Enterocolitis
HP:0001531Failure to thrive in infancy
HP:0001510Growth delay
HP:0001561Polyhydramnios
HP:0100806Sepsis
HP:0004322Short stature

Run the differential on the 6 obligate / very frequent terms

Annotation source: 32965813[PMID]_31791203[PMID]_37828049[PMID]

7

Sources for this card