Presentation
A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor--a teratoma--was identified. [ncbi.nlm.nih.gov]
Gastrointestinal
-
Constipation
The presence constipation in two generations of this family with YPS suggests that constipation could be a gastrointestinal manifestation of the condition. [consultant360.com]
[…] picking up miralax today to hopefully keep any constipation away, and on wednesday she has an appointment to get it checked out. [center.babygaga.com]
Patients who experience anal stenosis describe constipation, bleeding, pain, and incomplete evacuation. Although often described as a debilitating and difficult problem, several good treatment options are available. [ncbi.nlm.nih.gov]
It comes on slowly so the patient is not fully aware of the narrowing nd attributes it to "constipation". [proctocure.com]
It comes on slowly so the patient is not fully aware of the narrowing and attributes it to “constipation”. [ayurvedapilescure.com]
-
Rectal Pain
A 69-year-old male presented with chronic constipation, rectal pain, and easy fatigability. [springerplus.springeropen.com]
Furthermore, some patients are so miserably affected by the rectal pain that several weeks of conservative therapy is not an option. [glowm.com]
-
Tenesmus
Table 41.2 Symptoms of anal stenosis Constipation Decrease in stool caliber Difficulty initiating evacuation Incomplete evacuation Tenesmus Diarrhea Bleeding Seepage and wetness (if associated with ectropion) The treatment of anal stenosis is dependent [plasticsurgerykey.com]
Anal manometry and/or defecography can be utilized to rule out other pelvic floor or functional disorders causing tenesmus, constipation, and/or fecal leakage [ 22 ]. [abdominalkey.com]
-
Rectal Mass
The cervix is easily palpable, and tampons should not be mistaken for rectal masses. A bidigital examination to evaluate the rectovaginal septum should be performed, especially for patients with known or suspected cancer. [glowm.com]
Eyes
-
Aniridia
Some patients with typical systemic features of Axenfeld-Rieger syndrome may even have typical anterior chamber features of Axenfeld-Rieger anomaly in one eye and severe iris hypoplasia resembling aniridia in the other. [disorders.eyes.arizona.edu]
-
Miosis
[…] formation of megakaryocytes and the structural abnormalities mentioned above. 5 Laboratory study results in the reported YPS cases showed thrombocytopenia and elevated creatine kinase. 3-5 Some of the clinical features of YPS in the reported cases include miosis [consultant360.com]
Neurologic
-
Neglect
Furthermore, the brevity of discus sion of anatomy, physiology, and pathology and the neglect of details of medical therapy of numerous colorectal diseases must be attributed to the fact that this volume is directed primarily toward the practicing surgeon [books.google.com]
Although classed as a minor anomaly, if neglected, becomes a major one requiring urgent surgical treatment. We present a case of rectal perforation secondary to anal stenosis in an apparently normal looking anus. [jpss.eu]
Urogenital
-
Overflow Incontinence
Overflow incontinence and soiling were corrected by local flaps and skin graft and were maintained by frequent dilatations after downward traction of the whole anus was performed. [ncbi.nlm.nih.gov]
Workup
She did an exam and sent us to a pediatric surgeon to do a workup for anal stenosis, meaning she believes her anus is too narrow for her age. [forums.thebump.com]
Microbiology
-
Entamoeba Histolytica
histolytica inflammatory bowel disease (IBD), a disorder or inflammation of the colon and small intestine There is a condition known as Anal Crohn's disease that mimics the symptoms of anal stenosis. [ddc.musc.edu]
Treatment
Both non-surgical and surgical treatments have been devised in the treatment of anal stenosis with good results. We described the results of the treatment of this disease in the Coloproctology Department of our institution. [ncbi.nlm.nih.gov]
Prognosis
These patients have an excellent prognosis for bowel control and fecal continence, and therefore, complete mobilization and resection of the anal canal must be avoided. [ncbi.nlm.nih.gov]
For these children, a colostomy is indicated during the newborn period, but once the final surgery corrects the defect, the prognosis is likewise excellent. [drgreene.com]
Prognosis is good as far as anal continence is concerned because the anal sphincter complex development is normal. [saudisurgj.org]
Since its initial description by Hermann in 1880 (2), 5-year survival rates have been estimated around 5 %-40 % (3-5), and one reason for this poor prognosis is delayed diagnosis due to overlapping with benign conditions. [scielo.isciii.es]
Etiology
Due to the rarity of this pathology and the different referral patterns among institutions, the etiology ranges widely between published reports. [ncbi.nlm.nih.gov]
Epidemiology
Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3-18. Tabbers MM, DiLorenzo C, Berger MY, et al. [consultant360.com]
[…] anaerobic culture 嫌気培養 anaerobic infection 嫌気性感染 anaerobic threshold 無酸素性作業閾値 anal agenesis 肛門無形成 anal fissure 裂肛/痔裂 anal fistula 痔瘻 anal stage 肛門期 anal stenosis/stenosis of anus 肛門狭窄/肛門狭窄症 analbuminemia 無アルブミン血症 analgesia 痛覚脱出/痛覚消失 analgesic 鎮痛薬 analytic epidemiology [jpeds.or.jp]
Proc R Soc Med 71:180–185 Google Scholar Trombetta LJ, Place RJ (2001) Giant condyloma acuminatum of the anorectum: trends in epidemiology and management: report of a case and review of the literature. [link.springer.com]
Pathophysiology
This article presents the definition, pathophysiology, diagnosis, and treatment of anal stenosis, and methods to prevent it. Copyright 2010 Elsevier Inc. All rights reserved. [ncbi.nlm.nih.gov]
The pathophysiology of chronic anal fissures has not been clearly established. [obesityhelp.com]
Prevention
Prevention of this condition may be achieved by adequate intake of dietary fiber or regular bulk laxatives in these debilitated patients. [ncbi.nlm.nih.gov]
However, anal stenosis can, in many cases, be prevented from occurring in the first place. [tgh.org]