Hirschsprung's disease x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Abdominal X-ray is the primary modality of choice to diagnose Hirschsprung’s disease. Findings may include decreased bowel caliber in the involved segment and colonic distension.

X-Ray

Abdominal plain X-ray findings associated with Hirschsprung’s disease may include:

Radiography performed in children with Hirschsprung’s disease yields findings similar to those in other forms of distal small intestine obstruction including variable gaseous distention of the colon and small bowel, often with air-fluid levels.
The colon is usually difficult to identify accurately; gas is usually absent in the rectum.^[1]

Moderate distention of descending colon with smooth delineation; this distension is secondary to the short, markedly stenotic segment seen in the proximal sigmoid colon, as well as reduced caliber of the remaining sigmoid colon and rectum. Case courtesy of Dr Mohammad Farghali Ali Tosson, “https://radiopaedia.org/” Radiopaedia.org. From the case href=”https://radiopaedia.org/cases/50255” rID: 50255

References

↑ “Hirschsprung disease | Radiology Reference Article | Radiopaedia.org”.

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[urlHirschsprung_disease_|_Radiology_Reference_Article_|_Radiopaedia.org-1] “Hirschsprung disease | Radiology Reference Article | Radiopaedia.org”.

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