Infant with difficulty stooling Pediatric Imaging Gastrointestinal March 30, 2024March 14, 2024 Lateral image from an enema shows that the rectum is narrower in diameter than the sigmoid colon. The recto-sigmoid ratio is < 1, thus there is recto-sigmoid inversion. The sigmoid colon is packed with stool. The diagnosis was Hirschsprung disease. Related Published March 30, 2024March 14, 2024