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Rectal prolapse in autistic children
R Van Heest1, S Jones, M Giacomantonio
1Department of General Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Insights
Rectal prolapse surgery is rarely needed in children. However, children with autism and mental retardation may require earlier surgical intervention for rectal prolapse.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Pediatrics
Background:
- Rectal prolapse is a recognized condition in children, typically managed non-surgically.
- Individuals with intellectual disabilities have a higher incidence of rectal prolapse, often requiring surgery later in life.
Observation:
- The study observed three pediatric patients diagnosed with autism and mental retardation.
- These patients presented with rectal prolapse at a younger age than typically associated with mental retardation alone.
Findings:
- All three children with autism and mental retardation required surgical intervention for rectal prolapse.
- This suggests a potential earlier onset or increased severity of rectal prolapse in this specific population.
Implications:
- Early surgical intervention may be necessary for rectal prolapse in children with autism and co-occurring mental retardation.
- Further research is warranted to understand the specific mechanisms and optimal management strategies for this patient group.
Abstract:
Rectal prolapse in children is not uncommon, but surgery is rarely indicated. In mentally challenged adults and children, rectal prolapse occurs more frequently than in the general population and often requires surgical intervention in the second to third decade of life. The authors describe 3 children with autism and mental retardation who presented with rectal prolapse at an earlier age than would be anticipated with mental retardation alone. All 3 children required surgical intervention.
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