Abstract
Background: Anorectal malformations are among the most common congenital malformation seen in children. There is paucity of data regarding the incidence and treatment outcome of this disease from Ethiopia. Methods: This is a retrospective review of patients treated for ARM at the TASH from March 2010-February 2014. Relevant statistical analysis was done and the results presented in tables and graphs. Results: Six patients (6%) presented at early neonatal age (before the age of 4 days) and 14 (14%) presented between 4 days and one month. A total of 57 associated congenital malformations were diagnosed in 44/99(44%) patients. The two most common type of ARM diagnosed among the female patients were recto- vestibular fistula which occurred in 39/56 (70%) andperineal fistula accounting for 6/56 (11%). ARM with urethral fistula was the commonest diagnosis among the male patients, making up 10/43 (23%). Post-operative outcome showed that 64 (64%) had a very good functional outcome. Conclusions: The diagnosis of anorectal malformation is late. Nearly half of the patients were found to have associated malformationsKey words: Anorectal malformation, Associated malformations, Postero-sagittal anorectoplasty
Highlights
Anorectal malformations comprise a wide spectrum of anomalies of the anorectal system, urogenital system, sacral spine and perineal musculature (1)
Anorectal malformations are among the most common congenital malformation seen in children (1-3)
The objective of this study is to describe the pattern of patients treated for ARM at the Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Table 1: Age and sex distribution
Summary
Anorectal malformations comprise a wide spectrum of anomalies of the anorectal system, urogenital system, sacral spine and perineal musculature (1). ARMs may be classified according to the Krickenbeck’s international classification which helps to do uniform reporting and comparison in males and females (5). This is done according to the number of orifices seen in the perineum for females and the location of fistula in males (5). ARM with urethral fistula was the commonest diagnosis among the male patients, making up 10/43 (23%). Half of the patients were found to have associated malformations. A total of 57 associated congenital malformations were diagnosed in 44/99(44%) patients. The two most common type of ARM diagnosed among the female patients were rectovestibular fistula which occurred in 39/56 (70%) and
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