Case | Age | ARM Type | Post-Operative (ARM) Symptoms | Diagnostic approach | Treatment | Outcome |
---|---|---|---|---|---|---|
1 | 4 years | Recto-prostatic | • Persistent constipation • Abdominal distension | • Contrast enema • Rectal biopsy | • Swenson-like pull-through procedure | Resolution of symptoms with a bowel management program |
2 | 1 year | Recto-bulbar | • Severe abdominal distension • Constipation • Enterocolitis | • Contrast enema • Exploration with multiple biopsies | • Colostomy • Swenson-like pull-through procedure | Improvement in symptoms with infrequent attacks of enterocolitis which respond to medical treatment |
3 | 2 years | Rectoperineal | • Persistent constipation | • Contrast enema • Rectal biopsy | • Swenson-like pull-through procedure | Resolution of symptoms without the need for laxatives |