Delayed presentation of congenital rectal stenosis associated with Down's syndrome and hypothyroidism: Case report

Chowdhury, Tanvir Kabir; Hoque, Mohammed Mainul; Kabir, Mahfuzul; Banu, Tahmina

doi:10.1002/ccr3.5083

Clinical Case Reports

2021

DOI: 10.1002/ccr3.5083

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Delayed presentation of congenital rectal stenosis associated with Down's syndrome and hypothyroidism: Case report

Tanvir Kabir Chowdhury

Mohammed Mainul Hoque

Mahfuzul Kabir³

et al.

Abstract: Rectal stenosis is a rare variety of rectal atresia. A membrane separates the rectum from the anal canal in the presence of a normal anus. We report a case of rectal stenosis associated with Down's syndrome and hypothyroidism in whom rectal stenosis was diagnosed at the age of 17 years.

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2024

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References 28 publications

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Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

Levin, MD, PhD, DSc,

Mendelson MD

2024

GHOA

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We describe a case of congenital stenosis in the anal canal (ACS) in an elderly woman who suffered from severe constipation since early childhood. Digital examination revealed a thin membrane in the anal canal with an opening through which only the index finger could fit. An X-ray examination revealed a narrowing in the anal canal at 1.9 cm from the normally formed anus. The Foley catheter balloon was stuck above the membrane. We found only one article describing delayed diagnosis of congenital rectal stenosis in a 17-year-old adolescent. But she also had a membrane in her anal canal. A PubMed search identified 14 articles that published radiographic studies of rectal atresia and rectal stenosis in children. In all cases radiometric analysis revealed atresia or stenosis not in the rectum, but in the anal canal. In 8 cases it was possible to determine the exact location of the membrane. It was located approximately 1 cm from the anal verge. Conclusion. An analysis of articles proved that in all cases the membrane was not in the rectum, but in the anal canal. This discovery allows the membrane to be excised through the anal approach without damaging the anal canal and the innervation of the anorectal area. It has been shown that in a significant number (≈5%) of children with functional megacolon, ACS may be the cause of the pathology. Scientifically based methods for diagnosing and treating ACA/ACS are proposed. The localization and form of the defect suggests that it occurs in the embryonic period due to a violation of the rupture of the membrane in embryos 13.5–135 cm long.

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Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

Levin, MD, PhD, DSc,

Mendelson MD

2024

GHOA

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Delayed presentation of congenital rectal stenosis associated with Down's syndrome and hypothyroidism: Case report

Abstract: Rectal stenosis is a rare variety of rectal atresia. A membrane separates the rectum from the anal canal in the presence of a normal anus. We report a case of rectal stenosis associated with Down's syndrome and hypothyroidism in whom rectal stenosis was diagnosed at the age of 17 years.

Cited by 1 publication

References 28 publications

Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

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