In the ‘Images in Paediatrics’ section of Archives of Disease in Childhood, September 2009,1 I read with interest, and some alarm, Sheth et al's assertion that CT scan findings were of ‘significant value’ in establishing the diagnosis of Hirschsprung's associated enterocolitis.

As the authors themselves point out, diagnosis of enterocolitis in a child with a history of endorectal pull-through operation for …