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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 30, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    The m. sphincter ani is located at 1.

    I'll post the correct answer in a couple of days!

    DDx.jpg
     

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    J.P.C. Peper, Aug 30, 2012
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  2. bb100

    bb100 Bronze Member

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    colon dilated with air secondary to rectal obstruction. cause may be hirschsprung disease.Imperforate Anus ...
     

    bb100, Aug 31, 2012
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  3. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Anorectal malformation (abbreviated ARM), in this case classified as a low anomaly.

    In this low lesion, the colon remains close to the skin but ends in a blind pouch (3). Here the anus is also missing, even though the m. sphincter ani are there. It occurs in about 1 in 5.000 births. The prognosis depends on possible associated anomalies (e.g. in the urogenital tract).
     

    J.P.C. Peper, Sep 2, 2012
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