Confusion about the cause of constipation in milder types of congenital anal malformations
Abstract
As a pediatric surgeon, I have read your case titled "Giant megacolon caused by anterior displacement of the anus in a 71-Year-old woman" (1) with great interest. I would like to extend my congratulations to the authors and editors for this successful article and offer some contributions. There is limited information in the literature about the long-term follow-up of patients with an anteriorly located anus. This case appears to be the oldest patient in the literature to be diagnosed with this anomaly and to have had the longest follow-up. In this respect, the case holds significant value.
Farhangian M, Ahmadi-Amoli H, Rahimpour E. Giant megacolon caused by anterior displacement of the anus in a71-year-old woman. Front Emerg Med. 2022;6(3):e43.
Sharma S, Perumal V, Sharma K, Gupta DK. Varied parameters and utility of the anal position index: a systematic review and meta-analysis. Pediatr Surg Int. 2021;37(4):469-77.
Herek Ö,Polat A .Incidence of anterior displacement of the anus and its relationship to constipation in children . Surg Today. 2004;34(2):190-2.
Kyrklund K, Pakarinen MP, Taskinen S, Rintala RJ. Bowel function and lower urinary tract symptoms in females with anterior anus treated conservatively: controlled outcomes into adulthood. J Pediatr Surg. 2015;50(7):1168-73.
Núñez-Ramos R, Fabbro MA, González-Velasco M, et al. Determination of the anal position in newborns and in children with chronic constipation: comparative study in two European healthcare centres. Pediatr Surg Int. 2011;27(10):1111-5.
Amerstorfer EE, Schmiedeke E, Samuk I, et al. Clinical differentiation between a normal anus, anterior anus, congenital anal stenosis, and perineal istula: definitions and consequences-The ARM-Net Consortium Consensus. Children (Basel). 2022;9(6):831.
| Files | ||
| Issue | Vol 8 No 1 (2024): Winter (February) | |
| Section | Letter to the editor | |
| DOI | 10.18502/fem.v8i1.14898 | |
| Keywords | ||
| Emergency Medicine Letter | ||
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