To compare radiological findings with the histological diagnosis of Hirschsprung disease (HD) to establish the usefulness of contrast enema as an initial screening and diagnostic tool and role of scoring system.
Material and Methods: Retrospective study of patients aged 0–6 years, with clinically suspected HD, for whom both contrast enemas and rectal biopsies were performed between 01 January 2018 and 31 August 2020 in a tertiary-level hospital. A total of 10 such patients were identified. Diagnostic accuracy levels were calculated by comparing radiological results with histology results, which is the gold standard.
Results: Diagnostic accuracy of contrast enema was 90%.
Conclusion: Contrast enema remains useful as an initial screening and diagnostic test for HD. Results of our hospital were consistent with the best international results for sensitivity of the contrast enema (approximately 90% in excluding the disease).