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A one-year old girl has experienced chronic constipation since birth. Anorectal exam reveals an anal opening that appears well positioned but is very narrow on digital exam and will only accommodate a number 11 Hegar dilator. An abdominal radiograph reveals a very large fecaloma and a scimitar sacrum.
The next best step to recommend to the parents of this child with constipation is
A rectal irrigations.
B magnetic resonance imaging.
C voiding cystourethragram.
D rectal biopsy.
E posterior sagittal anal repair.
A one-year old girl has experienced chronic constipation since birth. Anorectal exam reveals an anal opening that appears well positioned but is very narrow on digital exam and will only accommodate a number 11 Hegar dilator. An abdominal radiograph reveals a very large fecaloma and a scimitar sacrum.
The next best step to recommend to the parents of this child with constipation is
A rectal irrigations.
B magnetic resonance imaging.
C voiding cystourethragram.
D rectal biopsy.
E posterior sagittal anal repair.
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