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 SS  Vol.6 No.4 , April 2015
Chronic Constipation and Megarectum in a 14-Year-Old Patient Operated of Anorectal Malformation—Case Report
Abstract: The aim of this paper is to present the case of a female patient, 14 years of age, who developed a megarectum and overflow of fecal incontinence as a consequence of chronic and severe constipation, after the surgical repair of her vestibular fistula at the age one. The huge rectum was resected than dissected down to the pelvic floor and a new anus was reconstructed via a posterior sagittal anorectoplasty with excellent results.
Cite this paper: Statovci, S. , Hyseni, N. , Ahmeti, H. , Llullaku, S. , Shefkiu, A. and Kocinaj, D. (2015) Chronic Constipation and Megarectum in a 14-Year-Old Patient Operated of Anorectal Malformation—Case Report. Surgical Science, 6, 157-161. doi: 10.4236/ss.2015.64025.
References

[1]   Upadhyaya, V.D., Gangopadhyay, A.N., Srivastava, P., Hasan, Z. and Sharma, S.P. (2008) Evolution of Management of Anorectal Malformation through the Ages. The Internet Journal of Surgery, 17, 1.

[2]   Levitt, M.A. and Pena, A. (2010) Imperforate Anus and Cloacal Malformations. Ashcraft’s Pediatric Surgery. 5th Edition, Saunders Elsevier, Philadelphia, 468-490.

[3]   Rintala, R.J. (1996) Anorectal Malformations—Management and Outcome. Seminars in Fetal and Neonatal Medicine, 1, 219-230

[4]   Levitt, M.A. and Pena, A. (2007) Anorectal Malformations. Orphanet Journal of Rare Diseases, 2, 33
http://dx.doi.org/10.1186/1750-1172-2-33

[5]   De Vries, P.A. (2001) Posterior Sagittal Anorectoplasty. Journal of Paediatric Surgery, 17, 638-643.
http://dx.doi.org/10.1016/S0022-3468(82)80126-7

[6]   Brain, A.J. and Kiely, E.M. (2001) Posterior Saggital Anorectoplasty for Reoperation in Children with Anorectal Malformations. British Journal of Surgery, 76, 57-59.
http://dx.doi.org/10.1002/bjs.1800760117

[7]   Pena, A. (2001) Posterior Saggital Anorectoplasty as a Secondary Operation for the Treatment of Faecal Incontinence. Journal of Pediatric Surgery, 18, 762-773.
http://dx.doi.org/10.1016/S0022-3468(83)80020-7

[8]   Dewan, P.A., Hrabovszky, Z. and Mathew, M. (2000) Redo Anorectoplasty in the Managemnt of Anorectal Anomaly Patients. Australian and New Zealand Journal of Surgery, 70, 109

[9]   Har, A.F., Rescorla, F.J. and Croffie, J.M. (2013) Quality of Life in Pediatric Patients with Unremitting Constipation pre and Post Malone Antegrade Continence Enema (MACE) Procedure. Journal of Pediatric Surgery, 48, 1733-1737.
http://dx.doi.org/10.1016/j.jpedsurg.2013.01.045

[10]   Okada, A., Tamada, H., Tsuji, H., Azuma, T., Yagi, M. and Kamata, S. (2001) Anterior Sagittal Anorectoplasty as a Redo Operation for Imperforate Anus. Journal of Pediatric Surgery, 28, 933-938.
http://dx.doi.org/10.1016/0022-3468(93)90701-L

[11]   Moss, R.L. (2001) The Failed Anoplasty; Successful Outcome after Reoperative Anoplasty and Sigmoid Resection. Journal of Pediatric Surgery, 33, 1145-1148.
http://dx.doi.org/10.1016/S0022-3468(98)90548-6

[12]   Dewan, P.A., Elsworthy, E., Mathew, M., Poki, O., Khaw, S.L., Roberts, K. and Catto-Smith, A. (2004) Bowel Imbrication in the Management of Anorectal Anomalies. Pediatric Surgery International, 20, 708-713.
http://dx.doi.org/10.1007/s00383-002-0935-8

[13]   Keshtgar, A.S., Ward, H.C., Richards, C. and Clayden, G.S. (2007) Outcome of Excision of Megarectum in Children with Anorectal Malformation. Journal of Pediatric Surgery, 42, 227-233.
http://dx.doi.org/10.1016/j.jpedsurg.2006.09.021

[14]   Borg, H., Bachelard, M. and Sillén, U. (2014) Megarectosigmoid in Children with Anorectal Malformations: Long Term Outcome after Surgical or Conservative Treatment. Journal of Pediatric Surgery, 49, 564-569.
http://dx.doi.org/10.1016/j.jpedsurg.2013.08.003

 
 
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