Hirschsprung disease

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis certain

Presentation

Constipation since birth

Patient Data

Age: 6 months
Gender: Male
x-ray

Moderate distention of the descending colon with smooth delineation, this distension is secondary to short markedly stenotic segment seen in the proximal sigmoid colon as well as reduced caliber of the remaining sigmoid colon and rectum. 

Fluoroscopy

Moderate distention of the descending colon with smooth delineation, this distension is secondary to short markedly stenotic segment seen in the proximal sigmoid colon as well as reduced caliber of the remaining sigmoid colon and rectum. 

Case Discussion

Marked stenotic segment with chronic constipation are consistent with Hirschsprung's disease. 

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