ABSTRACT
Intestinal atresia and Hirschsprung disease are two common causes of bowel obstruction in neonates, simultaneous occurrence is rare.
This report delineates a 36-week newborn with ileal atresia and total colonic Hirschsprung who was referred to our unit due to failure of meconium passage during the first 48 hours after birth.
Key Clinical Message : Colonic aganglionosis should be in mind in any operated infant with small intestinal atresia repair who continues to exhibit poor bowel function after corrective surgery.