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Surasak Sangkhathat, Sakda Patrapinyokul, Piyawan Chiengkriwate
Congenital pouch colon is a form of anorectal malformation, rarely reported outside north India. Hallmarks of this malformation are a short colon containing a large distal pouch with a fistula connecting to the urinary system. Herein, the authors report the case of a Thai male neonate with a congenital pouch colon type II who was initially misdiagnosed as a common imperforate anus. As a result, urinary tract infection and metabolic acidosis developed after a colostomy. A definitive surgery consisting of a tabularized coloplasty and an abdominoperineal pull-through was performed at one month of age...
February 2012: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
A J Malouf, A B Williams, S Halligan, C I Bartram, S Dhillon, M A Kamm
OBJECTIVE: Endoanal MR imaging was prospectively compared with anal endosonography to determine any superiority in the characterization of sphincter morphology in fecal incontinence. SUBJECTS AND METHODS: Fifty-two consecutive patients with fecal incontinence were examined with anal endosonography and endoanal MR imaging after a detailed bowel history, clinical examination, and complete anorectal physiologic testing. External and internal anal sphincter integrity was noted on both endosonograms and MR images by two radiologists in consensus, who read individual scans in a random order to avoid recall bias...
September 2000: AJR. American Journal of Roentgenology
C Savoye-Collet, G Savoye, E Koning, D Thoumas, F Michot, P Denis, M Benozio
BACKGROUND: This study evaluates the endosonographic patterns of the anal sphincter after sphincteroplasty to define specific postoperative findings and to identify factors related to clinical outcome after sphincter repair. METHODS: Thirty-one incontinent patients (29 women, two men; mean age = 57 years) who underwent surgical repair for an external sphincter defect were studied postoperatively by endosonography. Twenty patients were found to improve after surgery...
November 1999: Abdominal Imaging
A Frudinger, C I Bartram, M A Kamm
OBJECTIVE: We undertook this study to establish the accuracy of transvaginal endosonography for detecting damage to the anal sphincter. SUBJECTS AND METHODS: Anal endosonography was performed in 47 parous patients and one nulliparous patient using a sonographic scanner, an 1850 endoprobe, and a 10-MHz transducer protected by a water-filled hard plastic cone. This procedure was followed by transvaginal sonography using the same system but with a water-filled balloon in 43 and a dedicated vaginal probe Type 8551 of 10-MHz frequency in five...
June 1997: AJR. American Journal of Roentgenology
M B Nielsen, C Hauge, J F Pedersen, J Christiansen
OBJECTIVE: Endosonography using an anal probe gives detailed information about the internal and external anal sphincters. The goals of this study were to evaluate findings at anal endosonography in patients with anal incontinence and to study whether endosonography might replace needle electromyographic mapping in providing information on the external anal sphincter. Furthermore, we compared the type of sphincter damage found by endosonography with the anal canal pressures and studied the value of endosonography for selecting the most effective surgical treatment...
April 1993: AJR. American Journal of Roentgenology
M B Nielsen, C C Hauge, J F Pedersen, J Christiansen
Endosonography gives detailed information on the internal and external anal sphincters. The goals of this study were to evaluate findings on anal endosonography in patients with anal incontinence and to study the value of endosonography for selecting the most effective surgical treatment. Forty-eight patients with incontinence for either gas (17 patients) or faeces (31 patients) were studied. Nineteen patients had idiopathic incontinence, 29 were incontinent due to previous obstetrical or surgical trauma. Endosonography and measurement of anal canal pressures were performed in all patients, 40 had needle electromyography...
December 6, 1993: Ugeskrift for Laeger
L W Popp, R P Lueken, W Müller-Holve, H J Lindemann
Basing on our research work in hysteroscopy, we used recently developed small endosonographic sounds for intrauterine and later vaginal approach, for the first time in 1981. We call this method endosonography. The equipment used so far is described, the procedure explained, and the efficacy of this new technique demonstrated via several endosonograms. The advantage to transabdominal sonography is the close contact of the ultrasound transducer with the organ to be examined. This enables the use of high frequencies with correspondingly good resolution...
June 1983: Ultraschall in der Medizin
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