A 46-year-old man visited the emergency department of our hospital with a 3-day history of anal pain, hemorrhaging, and a slight fever. He had previously been diagnosed with protein C deficiency and was prescribed dabigatran, a direct oral anticoagulant. Contrast-enhanced computed tomography showed severe rectal wall thickening with partial defect of enhancement. In addition, sigmoidoscopy reve...

BACKGROUND Anorectal Chlamydia trachomatis (chlamydia) is frequently diagnosed in men who have sex with men (MSM) and in women, but it is unknown whether these infections are comparable in clinical impact and transmission potential. Quantifying bacterial load and identifying determinants associated with high bacterial load could provide more insight. METHODS We selected a convenience sample o...

the purpose of this study is to investigate the age -related improvement of defecation function in high type anorectal malformation in relation to the assessment of the internal anal sphincter. the function of defecation was studied every 5 years up to 15 years postoperatively according to the japanese scoring system in our hospital in 50 patients operated for high type (recto-urethral fistula)...

OBJECTIVES Although rectal cancer is by far and large the most common pathology involving the rectum that needs imaging, there are many other important but less common pathological conditions affecting anorectal region. The objective of this pictorial review is to discuss the cross-sectional imaging features of less common anorectal and perirectal diseases. RESULTS Although a specific histolo...

Rectovestibular fistula is a rare variant of anorectal malformations. Such malformations are commonly operated in newborn period or puberty. So it is so uncommon to coincide with uncorrected rectovestibular fistula in women of reproductive ages. Herein, we report a case of multigravida pregnant woman with uncorrected rectovestibular fistula. The patient’s first pregnancy ended up by cesarean se...

A diagnosis of Hirschsprung's disease should be considered in children with constipation. An accurate neonatal history of bowel function and testing of anorectal pressure responses will aid the diagnosis. In the period 1971-75 inclusive, 140 children, aged 6 months to 14 years, were investigated by anorectal manometry. 26 showed a failed inhibition response to rectal dilatation, suggesting Hirs...

Anal fistulae are of common occurrence and represent a large percentage of the diseases of the rectum and anus. Khanna and Waryam (1955) reviewed 1,000 cases of the diseases of rectum and anus attending out-patients department and found that 14.7% were of anal fistula. However, when we consider the admission to the in-patients’ department we find a different picture viz. the total number of cas...

BACKGROUND Despite the surge of new medical and surgical approaches to treat fecal incontinence, the types of sphincter abnormalities in patients with incontinence have not been well characterized. We aimed to categorize anal sphincter dysfunction using anorectal manometry in patients with fecal incontinence as a potential guide for improved treatment. METHODS A retrospective review of 162 co...