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.