Hirschsprung’s Disease

Figure 6: Dilated bowel above area of transition zone in a 3 year old with Hirschsprung’s disease. This area is normal and does not have Hirschsprung’s disease. However, the large intestine is huge and doing a pullthrough would be difficult. A colostomy would be formed before trying to pull the intestine down to the anus.

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Articles and graphics adapted from O'Neill: Principles of Pediatric Surgery. © 2003, Elsevier.