M659: Dilated colon with narrow/ short aganglionic segment

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Clinical history : A 2 year old female with constipation and was diagnosed with megacolon with a barium enema.
A biopsy of the rectal muscle layer had the absence of ganglion and hyperplasiaof the neurovascular bundle was seen.
A colonostomy was done of the removed colon and it presented with an aganglionic segment.
Diagnosis: Hirschsprung disease

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