Colonic perforation in a neonate with an anorectal malformation

King, Sebastian K.; Cooksey, Rebecca; Atkinson, John; McLeod, Elizabeth; Levitt, Marc A.

doi:10.1111/ans.12704

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two patients (2/92, 2%) in whom diagnosis was delayed suffered an intestinal perforation. One patient had a rectal atresia in the setting of Down syndrome and survived following colostomy formation . The other patient had a perineal fistula and survived following colostomy formation.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Delayed diagnosis of anorectal malformations in neonates

Krüger

Teague

Khanal

et al. 2019

ANZ Journal of Surgery

Self Cite

View full text Add to dashboard Cite

Background: Anorectal malformations (ARM) are common congenital abnormalities of the terminal hindgut. Ideally, ARM should be diagnosed at, or shortly following, birth by careful physical examination of the perineum. Delayed diagnosis has been implicated as a risk factor for complications, including intestinal perforation. This study aimed to determine the rate of delayed diagnosis and associated intestinal perforation in ARM. Methods: A retrospective review was performed for all ARM patients managed at The Royal Children's Hospital over a 16-year period (2000-2015). Data collected included ARM type, timing of diagnosis and complications. Delayed diagnosis was defined as being at more than 24 h of age. Results: A total of 243 ARM patients (male 146/243, 60%) were included. The most frequent ARM types were perineal fistula (83/243, 34%) and rectovestibular fistula (40/243, 16%). Diagnosis was delayed beyond 24 h of age in 92 of 243 (38%) patients. The ARM type most commonly delayed in diagnosis was perineal fistula (37/83, 45%). Two patients in whom diagnosis was delayed suffered an intestinal perforation. Conclusion: Delayed diagnosis in ARM patients remains a common, and potentially fatal, occurrence. Improved assessment of newborns is required to ensure timely diagnosis of ARM, and avoidance of complications associated with delayed diagnosis.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Ideally, ARM should be diagnosed at, or shortly following, birth by careful physical examination of the perineum. Patients with a delayed diagnosis of ARM may present with bowel obstruction, chronic constipation and even intestinal perforation . Unfortunately, these presentations are not uncommon, even in first world centres .…”

Section: Introductionmentioning

confidence: 99%