Hirschsprung's Disease
Failure to pass meconium in the first 48 hours of life or chronic constipation is one of the common clinical presentations of Hirschsprung's disease
Abdominal distension, one of the common clinical presentations of Hirschsprung's disease

Abdominal distension, one of the common clinical presentations of Hirschsprung's disease

Bilious vomiting, the most common presentation in gut obstruction including Hirschsprung's disease

Operative finding of transitional zone in Hirschsprung's disease at rectosigmoid junction

Operative finding of transitional zone in Hirschsprung's disease at upper rectum
Operative finding of transitional zone in Hirschsprung's disease at splenic flexure

Operative finding of transitional zone in Hirschsprung's disease at upper rectum
The transitional zone is a cone-like part of bowel ( arrow ) connected between the contracted diseased segment ( below the arrow ) and the normal dilated bowel (above the arrow)
Plain X-ray ( Acute abdomen series ) in Hirschsprung's disease revealed dilatation of bowel down to sigmoid colon