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Chronic Constipation Due to Delayed Diagnosis of a Congenital Anal Web

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Journal of Gastrointestinal Surgery Aims and scope

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.

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Authors and Affiliations

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

    Neilendu Kundu

  2. Department of Pediatric Gastroenterology, Pediatric Institute & Children’s Hospital, Cleveland Clinic, Cleveland, OH, USA

    Naim Alkhouri

  3. Department of Pediatric Surgery, Pediatric Institute & Children’s Hospital, Cleveland Clinic, Cleveland, OH, USA

    Federico G. Seifarth

  4. Department of Pediatric Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A-10, Cleveland, OH, USA, 44195

    Federico G. Seifarth

Authors
  1. Neilendu Kundu
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  2. Naim Alkhouri
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  3. Federico G. Seifarth
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Correspondence to Federico G. Seifarth.

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Kundu, N., Alkhouri, N. & Seifarth, F.G. Chronic Constipation Due to Delayed Diagnosis of a Congenital Anal Web. J Gastrointest Surg 16, 1429–1432 (2012). https://doi.org/10.1007/s11605-012-1822-9

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  • DOI: https://doi.org/10.1007/s11605-012-1822-9

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