A case of rectal atresia associated with rectobulbar urethral fistula

Kobayashi, Hiroyuki; Yamataka, Atsuyuki; Lane, Geoffrey J.; Tsukamoto, Kanako; Miyano, Takeshi

doi:10.1007/s00383-004-1350-0

Cited by 3 publications

(6 citation statements)

References 4 publications

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“…In total, four case series and 18 case reports were included, comprising a total of 70 patients with RA (37 males, 21 females, and 12 unknown 4 5 7 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 ). Age at definitive surgical correction ranged from 1 day (after full-term gestational age) to 6 years of age.…”

Section: Resultsmentioning

confidence: 99%

“… 5 7 32 33 34 36 37 38 41 42 The remaining 8 of 18 were of moderate quality with scores ranging from 16 to 18. 24 25 26 27 29 31 35 39 Moderate scores were mostly due to lack of description of adverse or unanticipated events and no provision of takeaway lessons. Of the case series, two of four studies were of high quality with scores of 25 and 28, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…In 4 of 56 patients, a postoperative complication was noted (i.e., anal stenosis [ n = 1], anastomotic stenosis [ n = 2], and death [ n = 1]). 4 5 7 24 25 26 28 30 32 34 36 37 38 39 40 41 Clavien–Dindo scores per postoperative complication are shown in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…and death [n ¼ 1]). 4,5,7,[24][25][26]28,30,32,34,[36][37][38][39][40][41] Clavien-Dindo scores per postoperative complication are shown in ►Table 2.…”

Section: Definitive Operation Technique and Number Of Postoperative C...mentioning

confidence: 99%

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Outcomes after Surgical Treatment for Rectal Atresia in Children: Is There a Preferred Approach? A Systematic Review

et al. 2022

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Rectal atresia (RA) affects only 1 to 2% of all children with anorectal malformations. No consensus on optimal treatment strategy is yet achieved. Therefore, the aim of this systematic review is to summarize all surgical interventions for RA and outcomes described in the current literature. A literature search was conducted in PubMed, Embase, Web of Science, and Cochrane Library on January 24, 2022. All studies describing treatment for RA in children (< 18 years) were included. Operation technique and postoperative complications were listed. Only descriptive analysis was anticipated. Quality of the studies was assessed using Johanna Briggs Institute critical appraisal checklist for case reports and series. The search yielded 6,716 studies of which, after duplicate removal, 4,028 were excluded based on title and abstract screening. After full-text assessment, 22 of 90 studies were included, yielding 70 patients. Posterior sagittal anorectoplasty (PSARP) and pull-through were most performed (43/70 and 18/70 patients, respectively). Four patients experienced postoperative complications: anal stenosis (n = 1), anastomotic stenosis (n = 2), and death due to a pulmonary complication (n = 1). In the low-quality literature available, most patients with RA are treated with PSARP or pull-through technique. A low complication rate of both has been described but follow-up was often not mentioned. Larger well-designed studies should be performed to determine optimal treatment strategy for children with RA. This study reflects level of evidence V.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…and death [n ¼ 1]). 4,5,7,[24][25][26]28,30,32,34,[36][37][38][39][40][41] Clavien-Dindo scores per postoperative complication are shown in ►Table 2.…”

Section: Definitive Operation Technique and Number Of Postoperative C...mentioning

confidence: 99%

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Outcomes after Surgical Treatment for Rectal Atresia in Children: Is There a Preferred Approach? A Systematic Review

et al. 2022

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“…Treatment of this condition, by these techniques, was not very successful because it was associated with an alarming high mortality [6]. Currently, posterior sagittal anorectoplasty is the common approach with satisfactory results and good fecal continence.…”

Section: E42mentioning

confidence: 94%

Rectal and sigmoid atresia: transanal approach

Hamzaoui¹,

Ghribi²,

Makni³

et al. 2012

Journal of Pediatric Surgery

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Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

Levin, MD, PhD, DSc,

Mendelson MD

2024

GHOA

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We describe a case of congenital stenosis in the anal canal (ACS) in an elderly woman who suffered from severe constipation since early childhood. Digital examination revealed a thin membrane in the anal canal with an opening through which only the index finger could fit. An X-ray examination revealed a narrowing in the anal canal at 1.9 cm from the normally formed anus. The Foley catheter balloon was stuck above the membrane. We found only one article describing delayed diagnosis of congenital rectal stenosis in a 17-year-old adolescent. But she also had a membrane in her anal canal. A PubMed search identified 14 articles that published radiographic studies of rectal atresia and rectal stenosis in children. In all cases radiometric analysis revealed atresia or stenosis not in the rectum, but in the anal canal. In 8 cases it was possible to determine the exact location of the membrane. It was located approximately 1 cm from the anal verge. Conclusion. An analysis of articles proved that in all cases the membrane was not in the rectum, but in the anal canal. This discovery allows the membrane to be excised through the anal approach without damaging the anal canal and the innervation of the anorectal area. It has been shown that in a significant number (≈5%) of children with functional megacolon, ACS may be the cause of the pathology. Scientifically based methods for diagnosing and treating ACA/ACS are proposed. The localization and form of the defect suggests that it occurs in the embryonic period due to a violation of the rupture of the membrane in embryos 13.5–135 cm long.

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A case of rectal atresia associated with rectobulbar urethral fistula

Cited by 3 publications

References 4 publications

Outcomes after Surgical Treatment for Rectal Atresia in Children: Is There a Preferred Approach? A Systematic Review

Outcomes after Surgical Treatment for Rectal Atresia in Children: Is There a Preferred Approach? A Systematic Review

Rectal and sigmoid atresia: transanal approach

Late diagnosis of congenital anal canal stenosis. Case report and literature analysis

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