No gas from sigmoid

no gas from sigmoid, there is a cut off area, so i think hirschprung could be the first dd

Multiple air filled bowel loops is central and peripheral abdomen with paucity of gas in distal large bowel likely Hirschsprung, microcolon less possible

Absent rectal gas shadow hirschprung’s, ( cannot be arm as child is 10 day old )

Would like to know clinical condition of child and meconium history

  1. NEC

  2. Neonatal Intestinal obs (Hirschsprungs disease)

Dr Devesh Misra, Consultant Paediatric Surgeon, London