case_images: PMC6629996_01
case_images: Supine plain abdominal film with evidence of free air in the peritoneal cavity.
case_images: 10-1055-s-0039-1693494-i190450cr-1.jpg
case_images: PMC6629996_01_10-1055-s-0039-1693494-i190450cr-1.jpg
case_images: FI190450cr-1
case_images: Plain abdominal X-ray showed free air ( Fig. 1 ).
case_images: Histopathology of the doughnut showing (
  a
  ) the presence of ganglion cells in 70% of the circumference on the antimesenteric side (
  long arrows
  indicate the myenteric plexus,
  short arrows
  indicate the submucosal plexus) and (
  b
  ) the absence of ganglion cells in 30% of the circumference on the mesenteric side (
  arrowheads
  indicate the aganglionic myenteric plexus).
case_images: 10-1055-s-0039-1693494-i190450cr-2.jpg
case_images: PMC6629996_01_10-1055-s-0039-1693494-i190450cr-2.jpg
case_images: FI190450cr-2
case_images: Fig. 2 ). Findings were discussed with the family, and they wished for normal bowel to be pulled through.
case_images: Pictorial representation of the pattern of aganglionosis.
case_images: 10-1055-s-0039-1693494-i190450cr-3.jpg
case_images: PMC6629996_01_10-1055-s-0039-1693494-i190450cr-3.jpg
case_images: FI190450cr-3
case_images: Intraoperative biopsies at the revision pullthrough showed the absence of ganglion cells in 30% of the circumference along the mesenteric border in the entire transverse colon ( Fig. 3 ).