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