BACKGROUNDImaging studies done in the postoperative Anorectal Malformation patients serve for the evaluation of the associated malformations and for the assessment of the causes for fecal incontinence including the complications of surgery. The objective of the study was to assess status of fecal continence in postoperative Anorectal malformation by correlating clinical evaluation with Magnetic Resonance Imaging (MRI) findings and to compare Kelly's score of continence with MRI scoring.

Introduction: Blunt trauma accounts for approximately 90% of all pediatric injuries, with falls and motor vehicle collisions representing the most common mechanism of injury. Head and extremity injuries occur most frequently; however, injury to the abdomen occurs in up to 8% of children and abdominal injury is responsible for 9% of all trauma deaths. Study aimed to know the Nature of trauma, Mode of injury, Associated injuries, Investigative modalities and their relative accuracy in diagnosing blunt abdominal trauma.Material and methods: Analysis of 98 children admitted with blunt abdominal trauma, from sep-2013 to jan-2016 were included in this study and results were analyzed.Results: More than 40% of children are in 6 to 10 years.2/3 rd of children are males. Blunt trauma is the commonest cause of trauma. Accidental fall and RTA constituted 75.42% of cases. Polytrauma was seen in 41.8% of cases, head injury is the commonest association. Out of 98 abdominal trauma cases, 68 were managed conservatively and 23 underwent operative intervention. Total 35 cases had injury to solid organ. On laparotomy bowel injury was found in 17 cases, solid organ injury was found in 27 cases. Bowel perforations were found in 13 cases, most of them required simple closure in two layers, 4 cases of ileum perforations with gangrene due to mesenteric tear required resection and end to end anastomosis. There were 3 deaths all of them had polytrauma with all the 3 cases died during initial emergency resuscitation. Conclusion:Effective strategies, coupled with aggressive management can reduce the mortality and morbidity. Now is the time has to establish separate pediatric trauma units in all pediatric hospitals for effective management of injured children.