The Association of Spinal and Genitourinary Abnormalities with Low Anorectal Anomalies (Imperforate Anus) in Female Infants

Radiology ◽  
1974 ◽  
Vol 113 (3) ◽  
pp. 693-698 ◽  
Author(s):  
William Thompson ◽  
Herman Grossman
PEDIATRICS ◽  
1961 ◽  
Vol 27 (2) ◽  
pp. 334-336
Author(s):  
D. W. VanGelder ◽  
H. W. Kloepfer

A family is reported in which all four children, equally divided between the sexes, manifested anorectal anomalies ranging from an anorectal stenosis to a type III imperforate anus. There is no knowledge of similar anomalies in other relatives. It is suggested that in this family the anomaly could be caused by either an autosomal dominant or recessive gene.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Amr Abdelhamid AbouZeid ◽  
Shaimaa Abdelsattar Mohammad ◽  
Sherif Elhussiny Ibrahim ◽  
Leila Rawash ElDieb

Abstract Background Classifying anorectal anomalies (ARA) has always been a matter of debate among pediatric surgeons. A new classification does not necessarily imply discarding older ones. Several concepts have been introduced in the past and stood the test of time being still valid up till now In this report, we present our experience in managing a group of boys with ARA by PSARP. We have tried to enhance the current classification to include information about the level of the rectum in relation to sacrum, not just the location of the fistula. Results The study included 62 consecutive male patients with anorectal anomalies who underwent PSARP between 2009 and 2019. Included cases were either recto-bulbar fistula (21 cases), recto-prostatic fistula (30 cases), or imperforate anus without fistula (11 cases). Their age at operation ranged from 3 to 36 months (mean 7.8 months). Cases with recto-prostatic fistula were further subclassified according to the level of distal rectum into two subgroups: (type 1) those with the rectum ending opposite the level of S4/S5, and (type 2) those with the rectum ending at a higher level opposite S3. The PSARP procedure proved to be a successful surgical approach to reach, separate, and mobilize the rectum in all cases of recto-bulbar fistula, imperforate anus without fistula, and recto-prostatic fistula type (1). In cases of recto-prostatic fistula type (2), the perineal approach (PSARP) failed to reach and mobilize the rectum in two out of the eleven cases. Conclusion In management of anorectal anomalies, the sacrum can provide two important indicators: a prognostic value for continence, and anatomical landmark to stratify the level of distal rectum in the pelvis which is crucial for planning the best surgical approach.


Author(s):  
Takashi Kaji ◽  
Kazuhisa Maeda ◽  
Eishi Sogawa ◽  
Atsuko Yoshida ◽  
Naoto Yonetani ◽  
...  

1994 ◽  
Vol 4 (S 1) ◽  
pp. 12-14 ◽  
Author(s):  
M. De Gennaro ◽  
M. Rivosecchi ◽  
M. Lucchetti ◽  
M. Silveri ◽  
G. Fariello ◽  
...  

2010 ◽  
Vol 152A (2) ◽  
pp. 438-440 ◽  
Author(s):  
K. Nicole Weaver ◽  
Katherine D. Rutledge ◽  
John H. Grant ◽  
Nathaniel H. Robin
Keyword(s):  

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