A subset of patients who have undergone pull-through surgery for Hirschsprung's disease develop faecal incontinence attributable to damage to the anal canal. This specific post-operative presentation requires targeted management distinct from standard post-pull-through follow-up.
The patient has faecal incontinence in the setting of a damaged anal canal following pull-through surgery for Hirschsprung's disease. Patients in this situation should receive bowel management as the initial approach to symptom control.
When bowel management is insufficient to control symptoms in this context, a surgical intervention involving intestinal diversion may be considered.
Patients with fecal incontinence and damaged anal canal should receive bowel management.
An enterostomy is an option if bowel management fails to control symptoms.
DOI: 10.1186/s13023-020-01362-3