| On digital rectal examination, a submucosal tumor was palpated at the anorectal junction. |
| A thorough physical examination should be performed to detect and evaluate all anorectal lesions. |
| Patients frequently present with anorectal pain and lesions. |
| The rectal examination is recommended for anyone 50 years or older for the screening of anorectal cancer. |
| A careful history focusing on the nature of the pain and its relationship to bowel movements frequently provides the diagnosis of pain in the anorectal area. |
| The ultrasound measurements did not allow a determination between classifying this as a high or low anorectal malformation. |
