5.0 of 4 Ratings
A 2-week-old boy presents to general pediatrics clinic with constipation. His mother reports that he has not had a bowel movement for over 5 days and is quite concerned. On further examination, you discover that the boy is in the 5th percentile for weight. Physical examination shows a distended abdomen. Rectal examination shows an absence of stool in the rectal vault. A contrast enema reveals the following seen in Figure A. A rectal biopsy is performed (Figure B). Which of the following is true regarding this illness?
The disease more commonly affects females than males
Trisomy 18 is a risk factor for this disease
The vast majority of the cases of this illness affect the entire length of the bowel
MEN I is a risk factor for this disease
The mainstay of treatment is surgical
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