Cases

Question 1

• 56, CIBH, infrequent, blood, mucous
• 6 months worsening symptoms and a colonic transit study shoes shapes present
• Defocating proctogram shows recotoceale

Answer 1

Not USC as below 60

Surgery for rectoceale

Question 2

1. 20
2. Incontinent
3. Learning difficulties
4. Megarectum on Scan

Answer 2

Admit due to perforation risk

Question 3

Constipation and spina bifida

Answer 3

ACE (one of few indications)

Question 4

1. 70
2. CIBH
3. Bleeding

Answer 4

• USC
• CT colonogram