Abstract
Background: A female neonate with anorectal malformation (ARM) may have one, two, or three openings in the perineum. One opening represents cloaca while three openings usually suggest low ARM. Females with two openings in the perineum may be ARM without any fistula, rectovaginal fistula, or absent vagina. The association of ARM with multiple intestinal atresias and malrotation is rare. Case Presentation: We present here a case of a female neonate with two perineal openings, whose perineum was explored by a general surgeon without any radiological investigation and was later found to have a high ARM, multiple jejunal and ileal atresia with malrotation. Conclusion: ARM associated with small bowel atresia and malrotation are rarely described. Such cases require management in Pediatric surgery settings.
Highlights
The incidence of anorectal malformations (ARM) is approximately 1 in 5000 live births, while that of jejunoileal atresia ranges from 1 in 5000 to 14,000 live births.[1,2] Approximately 50% of neonates with ARM have one or more other abnormalities
ARM associated with small bowel atresia and malrotation are rarely described
ARM associated with jejunoileal atresia has rarely been described in the literature.[3,4]
Summary
The incidence of anorectal malformations (ARM) is approximately 1 in 5000 live births, while that of jejunoileal atresia ranges from 1 in 5000 to 14,000 live births.[1,2] Approximately 50% of neonates with ARM have one or more other abnormalities. Conclusion: ARM associated with small bowel atresia and malrotation are rarely described.
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