title: A rare condition of anorectal dysfunction in a patient with multiple sclerosis: Coexistence of faecal incontinence and mechanical constipation: Report of case.
abstract: BACKGROUND
  Multiple sclerosis is a chronic demyelinating neurological disease and causing a variety of neurological symptoms, including discomfort of anorectal function. Constipation and faecal incontinence present as anorectal dysfunction in MS and anal manometry, colonic transit time, electromyography, and defecography can be used for assessment.
  
  
  METHODS
  We presented a thirty-three years old woman with rare condition of anorectal dysfunction in multiple sclerosis. Anal manometry, defecography were done, and synchronously anal incontinence and mechanical constipation due to rectocele and anismus were detected in this patient.
  
  
  CONCLUSIONS
  Although anal incontinence and constipation are seen often in patients with multiple sclerosis, in the literature, coexistence of animus, rectocele and anal incontinence are quite rare.
  
  
  CONCLUSIONS
  Defecography and anal manometry are useful diagnostic methods for demonstration of anorectal dysfuntions in patients with MS.
authors.affiliation: Bursa Military Hospital, Department of General Surgery, Bursa, Turkey.
authors.forename: Özgür
authors.initials: Ö
authors.lastname: Dandin
authors.affiliation: Ankara Mevki Military Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey. Electronic address: yasamaster@gmail.com.
authors.forename: Yaşam Kemal
authors.initials: YK
authors.lastname: Akpak
authors.affiliation: Kasımpaşa Military Hospital, Department of General Surgery, Istanbul, Turkey.
authors.forename: Dursun Özgür
authors.initials: DÖ
authors.lastname: Karakaş
authors.affiliation: Kasımpaşa Military Hospital, Department of General Surgery, Istanbul, Turkey.
authors.forename: Batuhan
authors.initials: B
authors.lastname: Hazer
authors.affiliation: Bursa Military Hospital, Department of Radiology, Bursa, Turkey.
authors.forename: Tuncer
authors.initials: T
authors.lastname: Ergin
authors.affiliation: Bursa Military Hospital, Department of Physical Medicine and Rehabilitation, Bursa, Turkey.
authors.forename: Taner
authors.initials: T
authors.lastname: Dandinoğlu
authors.affiliation: Miami University Jackson Memorial Hospital, Department of Radiology, FL, USA.
authors.forename: Uygar
authors.initials: U
authors.lastname: Teomete
keywords: Anorectal dysfunctions; Constipation; Defecography; Diagnostic methods; Faecal incontinence; Multiple sclerosis