Reflex Anal Dilatation and Sexual Abuse

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Reflex anal dilatation associated with severe chronic constipation in children

Data were collected from children with severe chronic constipation, and the appearance of the anus at presentation was noted. A visibly relaxed sphincter (indicating a degree of reflex anal dilatation) was seen in 20 children out of the 129 in whom this sign was sought. The only differentiating characteristic in this group of children was the greater degree of faecal loading judged on palpation...

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Reflex anal dilatation associated with severe chronic constipation.

Data were collected from children with severe chronic constipation, and the appearance of the anus at presentation was noted. A visibly relaxed sphincter (indicating a degree of reflex anal dilatation) was seen in 20 children out of the 129 in whom this sign was sought. The only differentiating characteristic in this group of children was the greater degree of faecal loading judged on palpation...

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. Anal Dilatation for Haemorrhoids

Haemorrhoids are one of the commonest ailments that afflict mankind. It is difficult to find out the true incidence. Undoubtedly many people suffer from haemorrhoids and many more have some degree of the condition without symptoms. It is common to find haemorrhoids in symptomless patients and Buie (1960) reports an incidence of 52 per cent in a large series of unselected patients examined by pr...

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Anal signs of child sexual abuse: a case–control study

BACKGROUND There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. METHODS Retrospective case note review in a paediatric forensic unit. CASES all eligible cases from 1990 to 2007 alleging anal abuse. CONTRO...

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Reflex anal dilatation: effect of parting the buttocks on anal function in normal subjects and patients with anorectal and spinal disease.

Anal dilatation in response to gentle parting of the buttocks has been advocated as a sign of sexual abuse in children, but nothing is known of the physiology of this response or its existence in normal subjects, in patients with spinal disease, and in patients with a weak sphincter and whether it can be elicited after training. To answer these questions we investigated the effect of parting th...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1989

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.64.2.303-a