Anorectal Malformations: The Pivotal Role of the Good Clinical Practice

Abstract

Anorectal malformations (ARM) without a fistula are a rare congenital condition. Although may seem more simple to repair compared with ARM with fistulas, surgery has proved to be challenging. We report the case of a newborn who presented a well-formed anus and normal genitalia; a blind-ending anal canal was detected after the insertion of a rectal probe, thus allowing the diagnosis of ARM. Anal probing straight after birth avoids the possible complications related to intestinal obstruction due to a missed diagnosis of ARM. Examination of the perineal region is an important step in the evaluation of the newborn and represents the tool for a prompt identification of ARM. Adding anal probing to accurate inspection perineum is a good clinical practice and should always be performed even in presence of a normal-looking perineum.

Terapi Bermain: Dongeng Dalam Menurunkan Nyeri Pada Pasien Anak Dengan Fistula Rektovestibular

“…Menurut Wall et al (2004) anorectal fistula (ARF) ini lebih umum terjadi di negara-negara berkembang karena sumber daya yang terbatas untuk membantu proses persalinan. Selain itu, sekitar 5 -50% kasus pasien dengan MAR berhubungan dengan trisomi 21 (Paradiso et al, 2023). Hal tersebut dapat terjadi karena malformasi yang berkembang pada usia kehamilan dini tersebut gagal untuk memisahkan kloaka dari urorektal.…”