To cite: Hiradfar M, Shojaeian R, Alamdaran A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-213805 DESCRIPTION Gastrointestinal obstructive symptoms are common in the neonatal period and a contrast enema is considered an early paraclinical assessment with diagnostic and sometimes therapeutic value. Colonic dilation may be seen in Hirschsprung disease or o...