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Applied anatomy, histology, and embryology

Neural crest migration and related syndromes

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SAMPLE QUESTION

A 3-day-old newborn has progressive abdominal distension and bilious vomiting. No meconium has passed. Imaging shows a narrow rectosigmoid segment with dilation of the colon immediately upstream. There is no intraluminal mass.

Which histologic finding is most likely in the narrow segment?