PEDIATRICS Vol. 62 No. 4 October 1978, pp. 584-587
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Congenital Rectal Stenosis: A Sign of a Presacral Pathologic Condition

Mark A. Malangoni M.D.1, Jay L. Grosfeld M.D.1, Thomas V.N. Ballantine M.D.1, and Martin Kleiman M.D.1

1 Section of Pediatric Surgery, Department of Surgery, and the Department of Pediatrics, Indiana; University Scihool of Medicine, and the James Whitcomb Riley Hospital for Children, indianapolis

Congenital rectal stenosis may be detected in the newborn during the initial physical examination. Failure of conservative therapy (dilatation) should alert the physician to the presence of an associated pathologic condition in the presacral space. Presacral teratoma, anterior sacral meningocele, or bony anomalies may be the underlying extrinsic causes of congenital rectal stenosis. Prompt recognition and appropriate operative management directed at the presacral lesion will relieve obstructive symptoms and minimize morbidity.

Submitted on December 19, 1977
Accepted on February 10, 1978




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