Delay in diagnosis of congenital anal stenosis

Weledji, Elroy Patrick; Sinju, Motaze

doi:10.1016/j.epsc.2016.01.003

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…When ARM is associated with a well-developed perineum, a delay in diagnosis may ensue leading to signs and symptoms of bowel obstruction. In this condition, an early diagnosis made by anal probing avoids early and long-term complications related to intestinal obstruction (perforation, sepsis, respiratory distress due to abdominal distension, and electrolyte disorders) [ 10 , 11 ]. Generally, a delayed diagnosis of ARM is defined as a diagnosis made after the first 48 h of life, and it has been reported that the median age at diagnosis of perforation in ARM cases was 48 h [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Anorectal Malformations: The Pivotal Role of the Good Clinical Practice

Paradiso,

Silvaroli,

Rizzo

et al. 2023

Case Reports in Pediatrics

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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.

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