Table 1

Clinical data of 35 patients with megarectum

Sex20 male15 female (ratio 1.3:1)
Main diagnosisIdiopathic megarectum24 (68.6%)
Anorectal malformation and megarectum11* (31.4%)
Age at diagnosisMedian age at diagnosis8 years (range 2–25 years)
Other diagnosesPsychobehavioural diagnosis7† (20.0%)
Developmental delay, premature birth, epilepsy, diabetes, hypermobility syndromeEach category has 2 or fewer
Diagnostic imagingNumber of patients with available imaging for review‡20 (57.1%)
Median rectal diameter on imaging8.5 cm (range 5.3–19.0 cm)
Anorectal physiologyNumber of patients with Anorectal physiology results for review15
Operative detailsMedian age at operation13 years (range 2–48 years)
Anterior resection§26 (74.3%)
Vertical reduction rectoplasty7 (20.0%)
Anterograde continence enema surgery4 (11.4%)
  • *Includes patients with sacrococcygeal teratoma (Currarino triad), VACTERL association (vertebral defects, anal atresia, cardiac defects, tracheo-oesophageal fistula, renal anomalies and limb abnormalitie) and Turner’s syndrome (2 or fewer each).

  • †Includes Asperger’s syndrome.

  • ‡Includes 18 plain radiographs, 8 defaecating proctograms, 2 CT and 1 MRI scan.

  • §Includes 7 patients with extended resections including sigmoid or left hemicolon; defunctioning loop ileostomy used as routine (some patients had stoma prior to surgery).