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Table 8 Pastor et al. (2009) HAEC score items [76]

From: ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease

History
 Diarrhea with explosive stool 2
 Diarrhea with foul-smelling stool 2
 Diarrhea with bloody stool 1
 Previous history of enterocolitis 1
Physical examination  
 Explosive discharge of gas and stool on rectal examination 2
 Distended abdomen 2
 Decreased peripheral perfusion 1
 Lethargy 1
 Fever 1
Radiologic examination
 Multiple air fluid levels 1
 Dilated loops of bowel 1
 Sawtooth appearance with irregular mucosal lining 1
 Cut off sign in rectosigmoid region with absence of distal air 1
 Pneumatosis 1
Laboratory  
 Leukocytosis 1
 Shift to left 1
  1. Note: Using a cut-off of > 4 points to identify suspected HAEC is more sensitive and may have better clinical applicability than Pastor and co-workers' original cut-off of > 10 points [75]