weekly_question 11/10/2020

[Admin]

please write the answer and your justification, correct answer will be submitted after 48 hrs

A 4 month female with anal stenosis presents for routine follow up. She has been serially dilated to a 13 Hegar, although symptoms of constipation persist. A Voiding cystourethrography (VCUG), renal ultrasound, spinal ultrasound, and ECHO in the NICU were normal. The next step in management would include:

A No additional evaluation required

B Anal manometry

C Suction rectal biopsy

D Open rectal biopsy

E MRI of pelvis

[Admin]

correct answer
E MRI of pelvis
to asses for presence of presacral mass (Currarino syndrome)
click the following link for Currarino syndrome chart: https://pediatricsurgery.club/forum/...arino-syndrome

[umaminu]

Anal Manometry to screen for possible associated Hirschprung's disease. It is the least invasive of the investigations relevant.

[[email protected]]

Open rectal biopsy is more accurate in diagnosing HS

[Abu samra]

Anal manometry

[Farid Elallaghi]

Pelvic MRI to exclude Presacral masse.

[Arwa]

E: MRI pelvis, to exclude a presacral mass & cord thethering

[Aey]

E is correct to role out Currarino syndrome

[Admin]

correct answer
E MRI of pelvis
to asses for presence of presacral mass (Currarino syndrome)
click the following link for Currarino syndrome chart: https://pediatricsurgery.club/forum/...arino-syndrome

[Farid Elallaghi]

Spine US is advised until age of 6 months to exclude Presacral masse .