Anorectal sigmoid myotomy with ileal anastomosis after subtotal colectomy due to Hirschsprung's enterocolitis: case report and review of the literature

We presented a one year old seven months old patients that had undergone a double barreled proximal ileostomy-sigmoidostomy after resection of most of the ileum, ascending, transverse and descending colon due to Hirschsprung's enterocolitis; that was admitted for anorectal-sigmoid myotomy and ileosigmoidostomy. The advantages of Kasai's procedure (anorectal myotomy with coloanal anastomosis) over the pull-through procedures to treat Hirschsprung's disease are discussed along with the more pertinent literature