Hirschsprung disease

Case contributed by Dr Hanisalam

Presentation

Neonate, failing to pass meconium.

Patient Data

Age: Neonate

Abdominal x-ray

Modality: 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 enema

Modality: Barium

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.

Annotated post evacuation film

Modality: Fluoroscopy

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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