ABSTRACT
This chapter explains the key principles in the management of complex pediatric colorectal diagnoses. It provides case-based presentations, radiographic images, and operative images with multiple choice questions to test knowledge. The chapter presents a case study of a 5-year-old boy with idiopathic constipation comes to clinic for bowel management. Previous medical therapy has included lactulose, Miralax, senna, and bisacodyl, but he has continued to have soiling and accidents. During the bowel management week, he was recommenced on senna. After 2 days, he presents with inflammation and blistering to the groin and perineum. Senna induce dermatitis is related to the additives in the senna, not the senna itself. Usually just changing the type of senna product that is used solves this problem.
