A 2-day-old male neonate, born full term through Caesarian section, presented to our department with bilious vomiting since birth and unable to pass meconeum. On examination, the patient had distended abdomen. A mass was palpable in the hypogastrium and left iliac region. His bowel sounds were not audible; rectal examination showed no meconium. His baseline investigations were within normal ran...

Total colonic aganglionosis (TCA) is a rare form of Hirschsprung disease (HD). It is difficult to be diagnosed on contrast enema because the radiographic findings are variable. The study aims to re-evaluate the contrast enema findings of TCA. From 2001 to 2009, 14 patients (11 males, 3 females; ages from 1 day to 6 months) with pathologically proven TCA were reviewed for demographic features, c...

A full-term, 2700 g, one-day-old baby presented with imperforate anus, bilious vomiting and abdominal distension. Physical examination, ultrasonography abdomen and echocardiography revealed no associated congenital anomalies. Local examination of the perineum revealed white epithelial pearls in the penoscrotal raphe with well-developed gluteal folds (Fig. A), consistent with anocutaneous fi stu...

DESCRIPTION A baby boy born at 31 weeks gestational age, had mild respiratory distress following birth that required continuous positive airway pressure. Antenatal scan at 20 weeks did not report any fetal anomalies and demonstrated normal liquor volume; no further antenatal ultrasound scans were carried out until delivery. Postnatal physical examination demonstrated some fullness on palpation ...