Anorectal melanoma is a rare malignant neoplasm with variable natural history and nonspecific presentation. We describe the clinicopathologic and prognostic parameters of a series of 18 patients (16 [88.9%] white; 10 [55.6%] male; median age, 64.0 years [interquartile range, 45.8-74.3 years]) with histologically proven anorectal melanoma treated at our institution during a 21-year period betwee...

OBJECTIVES To provide a simple myomectomy technique for low-segment Hirschsprung disease and evaluate the efficacy of the new modification. DESIGN Case series of 19 patients followed up for 12 to 56 months (mean, 39.1 months). SETTING Tanta University Hospital, Tanta, Egypt. PARTICIPANTS Nineteen patients aged 4 months to 10 years complaining of chronic constipation, with radiological and...

BACKGROUND AND AIM Anorectal manometry is used in the evaluation of disorders of the lower gastrointestinal tract: constipation, incontinence, anorectal pain. Most of these conditions are invalidating. Moreover, the patients do not benefit from a perfect therapy. Therefore many of them also use alternative therapies, but we still miss data on the use of alternative therapies in anorectal disord...

Background/Aims Although many advances in the management of Hirschsprung's disease have recently been achieved, postoperative outcomes of these patients remain difficult in a non-negligible number of cases. Therefore, this study aims at investigating characteristics of anorectal manometry and its relationship with postoperative outcomes during long-term follow-up in Hirschsprung patients. Met...

Perirectal abscesses and fistulas represent the acute and chronic manifestations of the same disease process, an infected anal gland. They have beleaguered patients and physicians for millennia. A thorough understanding of the anatomy and pathophysiology of the disease process is critical for optimal diagnosis and management. Abscess management is fairly straightforward, with incision and drain...

Hemorrhoids are one of the commonly reported anorectal disorders and a worldwide problem. It has prevalence rate of 4.4% in the United States [1]. However; no epidemiological data is available for India, but considered to be higher in Indian population. Most of the patients who turned up late to the hospitals, presented with advanced disease (Grade III or IV). The treatment options for hemorrho...

Neurofibromatosis type-1 (NF1), also known as Von Recklinghausen disease, is an autosomal dominant disorder with incidence of one per 4000. Neurofibromas are benign, heterogeneous, peripheral nerve sheath tumors coming up from the connective tissue of peripheral nerve sheaths, particularly the endoneurium. Visceral involvement in disseminated neurofibromatosis is considered rare. Neurofibroma o...

Department of Gastroenterology, Centro Hospitalar do Porto – Hospital de Santo António, Porto, Portugal Correspondence: Dr Maria João Magalhães, Rua Dr Manuel Rodrigues de Sousa, 21 5o D, 4450-181 Matosinhos, Porto, Portugal. Telephone 351-93-312-8979, e-mail [email protected] Received for publication August 1, 2014. Accepted August 4, 2014 CASE PRESENTATION A 74-year-old woman was admitte...