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Rectal ectasia in children: challenges in management

Varsha Reddy1, Shailesh Solanki1, Ravi P Kanojia1

  • 1Department of Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Sector 12, Chandigarh 160012, India.

Journal of Surgical Case Reports
|September 22, 2025
PubMed

Insights

Rectal ectasia, a rectal dilatation, lacks clear pathogenesis and management guidelines. This study reviews two pediatric cases, detailing diagnosis, surgical interventions, and outcomes to inform clinical practice.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Developmental Biology

Background:

  • Rectal ectasia involves significant rectal dilatation, potentially primary or secondary to distal obstruction.
  • Current literature lacks clarity on its embryopathogenesis, diagnostic criteria, and management.
  • Excluding medical constipation and Hirschsprung's disease is crucial for diagnosis.

Keywords:
Duhamel pull-throughHirschsprung’s diseaseSwenson procedureanorectal malformationrectal ectasia

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