De Campo J F, Mayne V, Boldt D W, De Campo M
Pediatr Radiol. 1984;14(4):205-9. doi: 10.1007/BF01042242.
The radiological findings in 13 patients with total aganglionosis coli were reviewed. There was a male to female ratio of 7:6. Fifty-four percent of patients presented in the first week of life, but a significant number (31%) did not present until after 1 month of age. All patients had plain film evidence of bowel obstruction when referred for a barium enema. There were no pathognomonic barium enema findings, and barium enema results covered the entire spectrum of findings which can be encountered in the neonate and young infant with bowel obstruction. Seventy-seven percent had normal calibre colon, 23% had micro colon, 23% had a shortened colon, 46% had colonic wall irregularity, 33% had significant ileal reflux. Delayed evacuation of barium from colon occurred in the two patients who had delayed films. Total colonic aganglionosis should be considered in any infant or young child with plain film evidence of bowel obstruction, whatever the barium enema findings. Hirschsprung's disease and the level of transition can only be definitively diagnosed by biopsy.
对13例全结肠无神经节细胞症患者的放射学检查结果进行了回顾。男女比例为7:6。54%的患者在出生后第一周出现症状，但相当一部分患者（31%）直到1个月龄后才出现症状。所有患者在因钡剂灌肠就诊时均有肠梗阻的平片证据。钡剂灌肠检查没有特征性表现，其结果涵盖了新生儿和小婴儿肠梗阻时可能出现的所有表现。77%的患者结肠管径正常，23%有小结肠，23%结肠缩短，46%结肠壁不规则，33%有明显的回肠反流。延迟摄片的2例患者钡剂从结肠排空延迟。对于任何有肠梗阻平片证据的婴幼儿，无论钡剂灌肠结果如何，均应考虑全结肠无神经节细胞症。先天性巨结肠及其移行段水平只能通过活检明确诊断。
