Waardenburg syndrome presenting with constipation since birth.

BACKGROUND Shah-Waardenburg syndrome is Waardenburg syndrome associated with Hirschsprung's disease. CASE CHARACTERISTICS A 10-day-old full-term male neonate of Waardenburg syndrome presented with constipation since birth along with features of small bowel obstruction. OBSERVATION Exploratory laparotomy revealed distended proximal jejunal and ileal loops along with microcolon; an ileostomy was performed. OUTCOME Postoperatively patient developed sepsis and died. Histopathology confirmed total colonic aganglionosis. MESSAGE Suspect familial Shah-Waardenburg syndrome in a neonate of Waardenburg syndrome presenting with constipation since birth or intestinal obstruction.