High anorectal malformation in a five-month-old boy: a case report

Anand Pandey,Shiv P Sharma,Ajay N Gangopadhyay,Vijayendra Kumar

doi:10.1186/1752-1947-4-296

Anand Pandey, Shiv P Sharma + Show 2 more

Open Access

https://doi.org/10.1186/1752-1947-4-296

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Abstract

IntroductionAnorectal malformation, one of the most common congenital defects, may present with a wide spectrum of defects. Almost all male patients present within first few days of life.Case presentationA five-month-old baby boy of Indian origin and nationality presented with anal atresia and associated rectourethral prostatic fistula. The anatomy of the malformation and our patient's good condition permitted a primary definitive repair of the anomaly. A brief review of the relevant literature is included.ConclusionDelayed presentation of a patient with high anorectal malformation is rare. The appropriate treatment can be rewarding.

Highlights

Anorectal malformation, one of the most common congenital defects, may present with a wide spectrum of defects
Anorectal malformation (ARM) is one of the most common congenital defects having an incidence of between one per 1500 and one per 5000 live births [1,2]. This anomaly is characterized by an absent anal opening: the rectum may either communicate with the urinary tract by a fistula or end blind
We present a male patient of high ARM, who exceptionally presented at the age of five months

Summary

Introduction

Anorectal malformation (ARM) is one of the most common congenital defects having an incidence of between one per 1500 and one per 5000 live births [1,2]. Case presentation A five-month-old baby boy of Indian origin and nationality presented to the department of Pediatric Surgery at the Institute of Medical Sciences, Banaras Hindu University with absent anal opening, along with passage of flatus and feces through the urethra since birth without any problem (Figures 1 and 2). On examination, his abdomen was soft and the right undescended testis was palpated in the inguinal canal. The bad financial conditions of the family led to the delayed presentation of the child to a specialist

Discussion

Conclusions

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