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Image IQ Quiz: Pediatric Patient with Chronic Constipation and Abdominal Distension

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Review the case and test your knowledge to make the correct diagnosis.

Image IQ Quiz: Pediatric Patient with Chronic Constipation and Abdominal Distension

Case submitted by RiT via radRounds.

A pediatric patient presents with chronic constipation, abdominal distension, and failure to pass meconium shortly after birth. An abdominal X-ray reveals a dilated colon with a "transition zone" seen at the rectosigmoid junction. What is the most likely diagnosis as indicated by the imaging findings?


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