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chronic constipation with anal narrowing

admin
in Anorectal Malformations

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First one with correct answer with justification win.

 

[size=20px]A one-year old girl has experienced chronic constipation since birth. Anorectal exam reveals an anal opening that appears well positioned but is very narrow on digital exam and will only accommodate a number 11 Hegar dilator. An abdominal radiograph reveals a very large fecaloma and a scimitar sacrum.

 

The next best step to recommend to the parents of this child with constipation is

 

A rectal irrigations.

 

B magnetic resonance imaging.

 

C voiding cystourethragram.

 

D rectal biopsy.

 

E posterior sagittal anal repair.[/size]

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