Abstract
In this article, we report a rare case of anorectal malformation (anal stenosis) in combination with anterior communicating rectal tubular duplication in a 10-month-old boy. The patient presented with constipation, bloating, anal narrowing, and an additional opening in the anterior semicircle of the anal sphincters. His diagnosis was confirmed by contrast-enhanced computed tomography. Surgical treatment was conducted by stages and included colostomy, rectal duplication removal with anterior sphincteroplasty, and stoma closure. One year postoperatively, the child had regular stools, no fecal incontinence, and a good cosmetic result of the operation. We emphasized late diagnosis of this congenital malformation. In case of an additional opening in the anterior semicircle of the anus, it is necessary to exclude colonic duplication using visualization methods. Digital rectal examination is recommended to exclude anal stenosis in such patients. Key words: anorectal malformations, anal fistula, colonic duplication
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