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Anal Stenosis

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    Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy.

    AMA Citation
    Anal Stenosis. In: Hay, Jr WW, Levin MJ, Deterding RR, Abzug MJ. Hay, Jr W.W., & Levin M.J., & Deterding R.R., & Abzug M.J.(Eds.),Eds. William W. Hay, Jr, et al.eds. Quick Medical Diagnosis & Treatment Pediatrics. McGraw-Hill; Accessed July 14, 2020. https://accesspediatrics.mhmedical.com/content.aspx?bookid=2196&sectionid=166955272
    APA Citation
    Anal stenosis. Hay, Jr WW, Levin MJ, Deterding RR, Abzug MJ. Hay, Jr W.W., & Levin M.J., & Deterding R.R., & Abzug M.J.(Eds.),Eds. William W. Hay, Jr, et al. (2017). Quick Medical Diagnosis & Treatment Pediatrics. McGraw-Hill. https://accesspediatrics.mhmedical.com/content.aspx?bookid=2196&sectionid=166955272
    MLA Citation
    "Anal Stenosis." Quick Medical Diagnosis & Treatment Pediatrics Hay, Jr WW, Levin MJ, Deterding RR, Abzug MJ. Hay, Jr W.W., & Levin M.J., & Deterding R.R., & Abzug M.J.(Eds.),Eds. William W. Hay, Jr, et al. McGraw-Hill, 2017, https://accesspediatrics.mhmedical.com/content.aspx?bookid=2196&sectionid=166955272.

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Key Features

  • Usually presents in the newborn period

  • Anal aperture may be very small and filled with a dot of meconium

  • Occurs in about 3 of 10,000 live births, with slightly more males affected

Clinical Findings

  • Defecation is difficult

  • Ribbon-like stools

  • Blood and mucus per rectum

  • Fecal impaction

  • Abdominal distention

Diagnosis

  • May not be apparent at birth because the anus looks normal

  • Rectal bleeding in a straining infant often leads to a rectal examination, which reveals a tight ring in the anal canal

Treatment

  • Dilation of the anal ring is usually curative but may have to be repeated daily for several weeks

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