PMC8004374_01
Renal and bladder imaging. (a). Hydronephrosis of the left kidney. (b). Hydronephrosis of the right kidney. (c). Micturation cystourethrogram (filling phase-normal bladder wall). (d) Micturation cystourethrogram (voiding phase-normal urethra).
CRIPE2021-6658525.001.jpg
PMC8004374_01_CRIPE2021-6658525.001.jpg
fig1
Ultrasound of the kidneys and bladder showed a bilateral hydronephrosis (Figures 1(a) and 1(b)). A micturition cystourethrogram was normal (Figures 1(c) and 1(d)) without a significant residue (<1 ml).
Barium enema X-ray. Dolichocolon (additional curves at sigmoid and transverse colon, arrows), no strictures, no pathological bowel dilatations, and no signs of Hirschsprung's disease.
CRIPE2021-6658525.002.jpg
PMC8004374_01_CRIPE2021-6658525.002.jpg
fig2
Because of the increased abdominal distension and difficult defecation, a barium enema was performed and it showed a dolichocolon with redundancies at the level of the sigmoid and the transverse colon (Figure 2). Radiology images were not suggestive for Hirschsprung's disease (Figure 2) which was also ruled out by rectal biopsy.