Presentation
Constipation for a long time
Patient Data
Age: 1 year
Gender: Male
From the case:
Hirschsprung disease - short segment
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Abnormal dilatation of transverse and descending colons are noted in the reference image.
There is a short segment of circumferential smooth narrowing of the proximal rectum with the sigmoid colon disproportionately distended in comparison to the rectum (rectosigmoid ratio < 1).
Case Discussion
The imaging findings are suggestive of a short segment Hirschsprung disease. For confirmation full thickness rectal biopsy is required.
This case is also contributed by Dr. Sahar Maroof