Hirschsprung disease

Case contributed by Dr Hani Salam

Presentation

Neonate, failing to pass meconium.

Patient Data

Age: Neonate
X-ray

Abdominal x-ray

Supine abdominal film demonstrates numerous dilated loops of bowel, most likely down to the descending colon. Some gas is seen in the pelvis, most likely in the rectosigmoid. 

Barium

Barium enema

Barium enema demonstrates a reduced calibre rectum and sigmoid (the rectum is smaller than the descending colon) with a saw-tooth appearance to the wall. A transition point is seen at the junction between sigmoid and descending colon.

Fluoroscopy

Annotated post evacuation film

Post evacuation film demonstrates the transition point more obviously. 

Case Discussion

These features are typical of short segment Hirschsprung disease.

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Case information

rID: 7570
Case created: 10th Nov 2009
Last edited: 30th Sep 2016
Inclusion in quiz mode: Included

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