Patient Case Discussion
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Case Summary
- Referred at age 6 weeks to clinic, ARM noted at birth 
 
- Term infant, thriving: 70th percentile 
 
- Anus close to vagina 
 
- Difficulty / straining with defecation 
 
- Spinal and pelvic ultrasound: normal no presacral mass, no tethered cord 
 
      
      
    
         
      
    
    
Case Summary
- 16-yr-old presents for evaluation because of fecal impaction. 
 
- History of constipation from 6 mo of age. 
 
- He has been to the Emergency Department multiple times for disimpaction. 
 
- He did not have appropriate follow up. 
 
      
      
    
         
      
    
    
Case Summary
Case Overview, Part 1