Hirschsprung disease

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Failure to pass meconium.

Patient Data

Age: 2 days
Gender: Male
x-ray

Dilated bowel with no bowel seen in the pelvis. No evidence of free gas.

Case Discussion

The patient proceeded to contrast enema study which confirmed the presence of small caliber rectum and distal colon (images not available). The patient was successfully treated surgically and histology confirmed the absence of colonic ganglion cells (aganglionosis).

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