Evidence map›Paper›PMID 41768332›Full record

ArticleJournal of surgical case reports2026

Congenital rectal stenosis diagnosed using an anoscope to detect a mucosal web with an orifice: a case report.

Koki Higashi, Yuhki Koike, Yuki Sato, Shinji Yamashita, Yuka Nagano, Tadanobu Shimura, Takahito Kitajima, Kohei Matsushita, Yoshinaga Okugawa, Yuji Toiyama

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Koki HigashiDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Yuhki KoikeDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Yuki SatoDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Shinji YamashitaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Yuka NaganoDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Tadanobu ShimuraDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Takahito KitajimaDepartment of Genomic Medicine, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Kohei MatsushitaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Yoshinaga OkugawaDepartment of Genomic Medicine, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.
Yuji ToiyamaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, 174 Edobashi 2-chome, Tsu, Mie 514-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rectal stenosis (RS) is a rare variant of anorectal malformation, characterized by a normally positioned anus with well-developed functional sphincters. An inaccurate diagnosis of RS may affect the choice of surgical procedure. We present a case of RS diagnosed via anoscopy and treated with transanal surgery. A 2-day-old male infant presented with failure to pass meconium and abdominal distension. Although the anus was normally positioned, catheter insertion was obstructed at slightly more than 1 cm. Anoscopy revealed a rectal web with an orifice, enabling catheter decompression. Web resection and strictureplasty were performed on Day 5. The postoperative course was favorable, and bougie dilation was discontinued 1 year postoperatively. Anoscopy is easily performed at the initial visit and facilitates the detection of a web with an orifice, even when it is barely visible externally. This approach enables safe catheter insertion and appropriate surgical planning.

Indexed as

anorectal malformationrectal atresiarectal stenosistransanal approach

Identifiers

PMID41768332
PMCPMC12941192

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.