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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Inflammatory Bowel Disease II: Crohn's Disease

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Related Experiment Video

Updated: May 25, 2025

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
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A RARE PRESENTATION OF TWO COLORECTAL ANOMALIES: ANORECTALMALFORMATION CO-EXISTING WITH HIRSCHSPRUNG'S DISEASE IN

K I Egbuchulem1, T A Lawal1,2, O O Ogundoyin1,2

  • 1Division of Paediatric Surgery, Department of Surgery, University College Hospital, Ibadan.

Annals of Ibadan Postgraduate Medicine
|February 26, 2025
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Summary

This case study highlights the rare association between Hirschsprung

Keywords:
Anorectal malformationCoexisting anomaliesHirschsprung'sIbadanNigerian.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Genetics

Background:

  • Hirschsprung's disease (HD) and anorectal malformation (ARM) co-occurrence is rare and challenging.
  • ARM repair symptoms can mask underlying HD, worsening post-stoma closure.
  • This association necessitates a high index of suspicion for timely diagnosis.

Purpose of the Study:

  • To report a rare case of HD associated with ARM.
  • To highlight diagnostic and surgical management challenges.
  • To emphasize the need for increased awareness of this association.

Main Methods:

  • Case report of a 7-year-old boy with high ARM and subsequent HD diagnosis.
  • Details of surgical interventions including diverting colostomy, PSARP, levelling colostomy, and Swenson's pull-through.
  • Management of postoperative complications, including a colo-urethral fistula.

Main Results:

  • Delayed HD diagnosis due to initial ARM treatment.
  • Multiple surgical procedures required for management.
  • Postoperative complications, including fistula formation, necessitating further interventions.
  • Patient experienced frequent bowel movements post-final surgery.

Conclusions:

  • The association of HD with ARM is infrequent but clinically significant.
  • Delayed diagnosis and management lead to increased morbidity.
  • Early recognition and a high index of suspicion are crucial for optimal patient outcomes.