Hirschsprung’s disease

Hirschsprung’s disease is a rare motor disorder of the gut which is characterized by the absence of ganglia in distal colon resulting in a functional obstruction. We report a case of a male baby of 15days of life presented with abdominal distension, vomiting, passage of stools in small amounts, greenish gastric aspirate. Physically facial puffiness, rough dry skin and cold peripheries were noticed. On abdominal examination, there were prominent veins, visible intestinal peristalsis and mild hepatospleenomegaly. Ultrasound abdomen shows dilated bowel loops suggesting intestinal obstruction. X-ray abdomen (ERECT) reveals cecal volvulus with intestinal obstruction. Histopathology report shows the impression – features consistent with Hirschsprung’s disease. The treatment for Hirschsprung’s disease is surgery.