Diaa Mohammed is An 8-year-old child presented with constipation and abdominal distention, without any bowel movement and diffuse abdominal pain. Skin lesions, such as eczema, were observed. He had suffered from constipation since he was 6 years old and was suspected as having HD by rectal manometry and barium enema at approximately 5 years old (Fig. 1), operated previously about 2 years ago but not corrected & not cured s . He had suffered from anemia and malnutrition since he was 5 years old. His bowel movements were well self-controlled by a daily glycerin enema since he was 3 years old. He did not have hematochezia. Then, operated by DR. Mohammed Gaber Hameed, excized about 70 cm with no intestinal movement, Now patient is completely cured, ........ ضياء محمد طفل يبلغ من العمر 8 سنوات يعاني من إمساك وانتفاخ في البطن ، دون أي حركة للأمعاء وآلام منتشرة في البطن. لوحظ وجود آفات جلدية مثل الأكزيما. لقد عانى من الإمساك منذ أ...