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[Megarectum in childhood].

G P Fioretti, G Amici, P Parmeggiani

    Minerva Chirurgica
    |August 15, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Megarectum in infants can stem from psychological issues or inner sphincter fibrosis. Diagnosis involves radiology, manometry, and biopsy, with treatment potentially including surgery and neuropsychiatric care.

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    Area of Science:

    • Pediatric Gastroenterology
    • Pediatric Surgery
    • Developmental Psychology

    Background:

    • Megarectum classification in infants requires careful diagnostic consideration.
    • Distinguishing between congenital and acquired forms is crucial for effective management.
    • Psychological factors can play a significant role in infantile constipation and megarectum.

    Observation:

    • Diagnostic tools include clyster radiology, rectal manometry, and biopsy.
    • Histological examination post-sphincteromyectomy reveals fibrosis and nerve regression in some cases.
    • Affective disturbances may initiate a cascade leading to intestinal distension and secondary organic changes.

    Findings:

    • Many cases of infantile megarectum, particularly those involving inner sphincter fibrosis, are secondary and reactive rather than primary congenital.

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  • Psychogenic forms of megarectum are identifiable and require specific diagnostic approaches.
  • Surgical intervention (sphincteromyectomy) combined with neuropsychiatric treatment is often necessary.

    • Implications:

    • Accurate diagnosis of infantile megarectum necessitates a multidisciplinary approach.
    • Understanding the secondary and psychogenic origins can guide treatment strategies.
    • Early identification and intervention for psychological factors may prevent the progression to organic megarectum.