NEJM: Congenital giant colon disease - case reported

The patient, a 3-day-old baby boy, was taken to hospital for vomiting, inability to detocate, bloating and inability to breastfeed.
baby expression discomfort, physical examination found that the obvious abdominal expansion, the diagnosis with resonance, did not hear the tone of the intestine.
abdominal X-rays showed colon dilation, consistent with far-end intestinal obstruction, and transition areas were found in the enema using water-soluble contrast agents.
can't do rectal suction biopsies at this hospital.
, an exploratory caesarean section was performed.
during caesarean section, a transition zone (shown by arrow) was found in the B colon and is suspected to be a short-section congenital macro colon disease.
medical staff took a full-layer biopsy sample of the far-end narrow colon, and after histological examination, no nerve cells were found, a finding that confirmed the diagnosis.
in order to reduce the pressure of the colon, the construction of a ring colonotomy.
the baby was in good condition after the operation and was discharged from the hospital 7 days after the operation.
six months after discharge, the baby was in good condition.