Ileal atresia, malrotation and Hirschsprung's disease: A case report

Ileal atresia associated with malrotation is rare, but the additional diagnosis of Hirschsprung's disease (HD) in the same patient has not been described in the literature. This case report presents a newborn with a bowel obstruction requiring surgery for ileal atresia and malrotation. The post-operative course was complicated by a distal bowel obstruction. Evaluation of the resected bowel from the original surgery was consistent with total colonic aganglionosis, and a diverting ileostomy was performed. Delay in diagnosis of HD is not uncommon when an initial gastrointestinal anomaly is diagnosed and should be suspected when bowel function fails to return after corrective surgery. Published by Elsevier Inc. Open access under CC BY-NC-ND license.