Stercoral ulcer after Hirschsprung's disease surgery

Constipation and stercoral ulcer are risk factors associated with Hirschsprung's disease (HD); long‐term follow‐up is, thus, essential. In postoperative HD associated with Down syndrome (DS) with intellectual disability, vigilant follow‐up is required to avoid severe constipation because DS predisposes the patients to constipation and caregivers cannot easily understand the symptoms. Patients with postoperative Hirschsprung's disease associated with Down syndrome with intellectual disability require careful and long‐term follow‐up to avoid severe constipation that may lead to stercoral ulcer.