ABSTRACT

A 3-year-old boy with non-syndromic, rectosigmoid Hirschsprung disease was operated on at 4 weeks of age with total transanal endorectal pull-through. He has had several episodes of mild Hirschsprung-associated enterocolitis (HAEC), with foul-smelling, explosive diarrhea. He has responded well to rectal irrigations and oral metronidazol. Recently, he had one of these episodes. The parents describe that he needs irrigations almost every day, also between the enterocolitis episodes, to pass stools.