Embryologic Development and Defects · USMLE Step 1

A fetus is diagnosed with congenital aganglionic megacolon (Hirschsprung disease). This disorder is caused by failure of migration of which cells?

  1. Mesodermal myoblasts
  2. Neural crest cells
  3. Endodermal epithelial cells
  4. Mesonephric duct cells
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Correct answer: Neural crest cells

Neural crest cells migrate to form the enteric nervous system. Failure of migration causes aganglionic distal colon and functional obstruction.

Difficulty: Medium Question 9 of 20

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