Anorectal Malformations and Late-Term Problems

Abstract

Anorectal malformation is a disease with different subtypes and anatomical and functional multisystemic involvement that requires a unique approach in each age group. Anomalies associated with vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities (VACTERL) association require detailed investigation and management. Beginning from the neonatal period, treatment is carried out with different surgical procedures. The clinical course of these patients may be associated with medical problems, accompanying congenital anomalies, perioperative management, or late sequelae. Constipation and fecal–urinary incontinence are the most common problems encountered in long-term follow-up. Renal failure is the most important cause of long-term mortality. In addition, these patients need to be under control until adulthood due to cardiological, spinal, genital, gynecological, and endocrine problems. In this follow-up, many pediatric disciplines such as neonatal intensive care, cardiology, nephrology, gastroenterology, and endocrinology cooperate with pediatric surgeons and pediatric urologists.

“The People Criticized Me and Insulted Me Due to Having a Child with Defect”: Experiences of Somali Parents of Children with Anorectal Malformation

“…Anorectal Malformation (ARM) is a congenital colorectal malformation that requires early diagnosis, surgical treatment and comprehensive care. 1–3 Treatment, anorectal malformation involves a gradual and challenging process requiring hospitalization and multiple surgical interventions immediately after the birth of the child. In some cases, treatment is possible with single-stage primary repair, whereas in others, colostomy can be opened with multistage surgical treatment.…”

An Unexpected Diagnosis of The Rectal Polyp: Perivascular Epithelioid Cell Tumor

“…Despite the proximity of PEComas to abnormalities of the urinary tract, genitalia, and spine, computed tomography, magnetic resonance imaging, and ultrasound are not sensitive enough to allow diagnosis of colorectal mural or luminal pathologies such as polyps. 7 A polypoid lesion or fungating mass can be seen on endoscopy, and it can often present as rich vascularization with a hyaline wall or even necrosis. 5 In our case, colonoscopy showed a large diameter and an overlying hemorrhagic and inflammatory polyp.…”