Small left colon syndrome


The 3 days old boy had not passed meconium. An enema fluoroscopic study was performed for diagnostic and therapeutic reasons. During the enema study, the patient eventually passed a large amount of meconium and demonstrated a small left colon.

The differential for this case includes

The rectosigmoid ratio was greater than 1, favoring meconium plug syndrome. Patient's final diagnosis was small left colon syndrome.