Repeat contrast enema concerning for long-segment Hirschsprung disease: microcolon, the question mark-shaped colon, and the lack of features in an otherwise normal colon.

Repeat contrast enema concerning for long-segment Hirschsprung disease: microcolon, the question mark-shaped colon, and the lack of features in an otherwise normal colon.

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Hirschsprung disease is the most common neurocristopathy in children, resulting in the congenital loss of enteric ganglia. Rare reports of skip lesions have previously been reported in the literature. We present a case of skip lesions known prior to surgery and managed by pull-through of the right colon that allowed the preservation of the colon.