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Successful pregnancy and delivery following a Malone antegrade continence enema procedure

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Abstract

Malone antegrade continence enema (MACE) procedures are an effective treatment for both intractable faecal incontinence and constipation of neurogenic aetiology and have traditionally been used in a paediatric setting. MACE procedures are now being performed more commonly in adults suffering idiopathic chronic constipation where they are also effective. Increasing use in otherwise healthy adult females raises concerns about the durability of the appendiceal conduit should the patient become pregnant. We report the first case of successful pregnancy after a MACE procedure with an umbilical stoma and discuss the impact of the pregnancy on MACE function.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Jessop Hospital Wing, Sheffield Teaching Hospitals Trust, Sheffield, UK

    M. C. Macdonald & K. F. Selby

  2. Department of Colorectal Surgery, Northern General Hospital, Sheffield Teaching Hospitals Trust, Sheffield, S7 5AU, UK

    J. P. Garner & R. Nelson

  3. 6 Kensington Court, Lodge Moor, Sheffield, S10 4NL, UK

    J. P. Garner

Authors
  1. M. C. Macdonald
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  2. J. P. Garner
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  3. K. F. Selby
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  4. R. Nelson
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Correspondence to J. P. Garner.

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Macdonald, M.C., Garner, J.P., Selby, K.F. et al. Successful pregnancy and delivery following a Malone antegrade continence enema procedure. Tech Coloproctol 13, 337–339 (2009). https://doi.org/10.1007/s10151-009-0506-2

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  • DOI: https://doi.org/10.1007/s10151-009-0506-2

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