[Hirschsprung's disease complicated by severe colonic dilatation].

The Hirschsprung's disease course, complicated by significant dilatation of colon, was considered in 37 patients. The late diagnosis constitutes the cause of the complication occurrence. The "giant" colon is revealed predominantly in senior children with short and ultrashort aganglyosis zone. Surgical treatment needs application of complex, frequently nonstandard methods because of inconcordance of the hypertrophic and dilated intestine size to the size of the anal canal, causing the trophic changes occurrence in the anastomosis region.