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The prolonged carriage of Clostridium difficile in Hirschsprung’s disease reported in this study1 raises the possibility that Hirschsprung’s might indeed be a product of intestinal ischaemia that develops in utero and might persist thereafter as chronic intestinal ischaemia, possibly because of persistent vascular abnormalities.2
Chronic ileal ischaemia seems to …
Competing interests: None declared.