1974 Volume 24 Issue 1 Pages 43-46
A case of neonatal Hirschsprung's disease in a 25-day-old female infant was presented. She had passed her first meconium stool about 48 hours after the normal delivery. Since then, the bowels had moved only every two or three days. She became distended on 21st day of life and began to vomit on 23rd day of life. The abdominal scout film revealed distended loops of small as well as large bowel with air-fluid levels and situs inversus totalis (Fig. 1).
A gstrografin enema examination demonstrated a normal calibered rectum and dilated sigmoid and descending colon. There was a distinct caliber difference at the recto-sigmoid junction and spastic irregular bizarre contour changes were seen in the rectum (Fig. 2).
Enemas failed to decompress and the emergency transverse colostomy was made. Her postoperative course was uneventful.
