1 Introduction
Intestinal atresia is a significant cause of primary bowel obstruction in neonates accounting for 22.4% of all cases [1]. On the other hand, Hirschsprung disease (HD) is the most frequent congenital intestinal motility disorder [2]. HD occurs when bowel segments are not supported by neuronal ganglion formation within the myenteric (Auerbach) and submucosal (Meissner) plexus, which promote gastrointestinal movements.
And in 80% of cases, the absence of ganglion cells is limited to the rectosigmoid area. However, aganglionosis may extend through the colon with the distal ileum (10 %) or more proximal segments [3]. Also, in these cases, a water-soluble enema shows a ”question mark” configuration in the foreshortened colon with no transitional zone. [4] The rectal biopsy can always confirm the diagnosis.
Concurrent small intestinal tract atresias associated with Hirschsprung are less than 1%.
In this case report, we simultaneously present an infant born with ileal atresia and Hirschsprung disease.