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先天性肛门横膈导致慢性便秘,延误诊断。

Chronic constipation due to delayed diagnosis of a congenital anal web.

机构信息

Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

J Gastrointest Surg. 2012 Jul;16(7):1429-32. doi: 10.1007/s11605-012-1822-9. Epub 2012 Jan 24.

Abstract

Congenital anal web is a rare form of anorectal malformation. In cases of delayed diagnosis, patients can present with signs ranging from mild constipation to complete bowel obstruction. The diagnosis is made by thorough anorectal inspection and a digital rectal exam. We present the case of a 9-month-old boy with Down's syndrome with chronic constipation secondary to an anal web. To our best knowledge, this is the first report of an anal web in a patient with Down's syndrome presenting with severe chronic constipation.

摘要

先天性肛门膜是一种罕见的肛门直肠畸形。在诊断延迟的情况下,患者可能表现出从轻度便秘到完全肠梗阻的各种症状。诊断通过彻底的肛门直肠检查和直肠指检来进行。我们报告了一例患有唐氏综合征的 9 个月大男孩,因肛门膜导致慢性便秘。据我们所知,这是首例唐氏综合征患者因严重慢性便秘而出现肛门膜的报告。

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