This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'True statements about congenital megacolon include all of the following except: \nSelect and explain. \nA. Dilatation & hyper trophy of pelvic colon, B. Loud borborygmi, C. Symptoms appear with in 3 days following birth, D. Large stool', 'role': 'user'}, {'content': 'Answer: D \nExplanation: S. Das writes - "The symptoms appear within 3 days of birth and the presenting features are as follows:\n\n\nConstipation\nAbdominal distention"\n\n\nNelson writes - "The clinical symptoms of Hirschprung disease usually begin at birth with the delayed passage of meconium."\nLoud borborygmi are heard due to intestinal obstruction.\nAbout stool, Nelson writes -\n\n"The stools when passed may consist of small pellets, maybe ribbon-like or may have fluid consistency; the large stools and faecal soiling of patients with functional constipation are absent."\nAlso, know\n\na large faecal mass may be palpable in the left lower abdomen, but on rectal examination, the rectum is usually empty of faeces (faeces in rectum are found in functional constipation).', 'role': 'assistant'}]