Anorectal malformation and Hirschsprung disease in an otherwise healthy infant

Hirschsprung disease and anorectal malformations are two conditions that are rarely associated with one another. Current reports of anorectal malformations with concurrent Hirschsprung disease predominantly describe children with genetic syndromes or other chromosomal anomalies. This report describes a case of imperforate anus and Hirschsprung disease in an otherwise healthy patient highlighting the importance of considering Hirschsprung disease in any patient with stooling difficulties following anorectoplasty for anorectal malformation.