WebAims Megarectum is well described in the surgical literature but few contemporary pathological studies have been undertaken. There is uncertainty whether ‘idiopathic’ megarectum is a primary neuromuscular disorder or whether chronic dilatation leads to previously reported and unreported pathological changes. We sought to answer this … Web0.61; and megarectum is defined in those with significant abnormalities found with anorectal manometry, pressure–volume curves, or rectal compliance investiga-tion. A diminished relaxation of the rectum on rectal distension could be the first sign of megarectum in children with chronic constipation. (Arch Dis Child 2000;83:52–58)
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WebSep 15, 2024 · Exclusion criteria were studies with the following features: post-operative; megarectum-predominant; paediatric; organic megacolon; non-human; and failure to exclude organic causes. A review of 23 articles found constipation, abdominal pain, distension and gas distress were predominant symptoms. WebJul 15, 2024 · The final pathology report described findings consistent with colonic tissue, suggesting a retained remnant of the original fistula and diverticulum. Although rare, persistent rectourethral fistula tracts and rectal diverticula after imperforate anus repair can cause symptoms decades later, requiring surgical intervention. john of salisbury conference
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WebSegmental resection has been tried with limited success. There is high recurrence of symptoms. Significant number of patients who had sigmoid colectomy alone had recurrence of constipation[13]. Other modalities include Duhamel operation, protectomy with coloanal anastomosis especially in patients with megarectum and pelvic floor procedures. WebJun 1, 2024 · Megarectum is associated with anorectal malformation (ARM) in 10–50% [].Terminologies used to describe the same spectrum include rectal or rectosigmoid … WebAug 23, 2024 · The symptoms of megarectum as described by the study are, 'The symptoms related to faecal impaction are a decreased defaecation frequency, passing massive … john of salisbury quotes