The empty rectum on plain X-ray. Does it have any significance in the neonate?

Abstract:

:The absence of rectal gas is said to be a sign of Hirschsprung's disease, especially when there is also gaseous distension of the bowel proximally. This paper reviews 136 neonates who had plain abdominal radiographs. There were 83 patients with multiple examinations, of which 52 (63%) showed variability in the presence of rectal gas on the radiographs. Fifty-seven of the total babies (42%) had significant bowel distension and of these 42 (74.5%) had absence of rectal gas. Only one of these cases had Hirschsprung's disease, most of the remaining having either generalized sepsis (42%) or necrotizing enterocolitis (25.5%).

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Bradley MJ,Pilling D

doi

10.1016/s0009-9260(05)80253-3

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

265-7

issue

4

eissn

0009-9260

issn

1365-229X

journal_volume

43

pub_type

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