Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications

Lindley, Richard; Shawis, Rang; Roberts, Julian

doi:10.1080/08035250500437523

Cited by 28 publications

(51 citation statements)

References 16 publications

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“…This may cause a delay in diagnosis as perineal examination is not a routine in the countryside. The delay in diagnosing this condition may lead to death [4,5]. …”

Section: Discussionmentioning

confidence: 99%

High anorectal malformation in a five-month-old boy: a case report

et al. 2010

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IntroductionAnorectal malformation, one of the most common congenital defects, may present with a wide spectrum of defects. Almost all male patients present within first few days of life.Case presentationA five-month-old baby boy of Indian origin and nationality presented with anal atresia and associated rectourethral prostatic fistula. The anatomy of the malformation and our patient's good condition permitted a primary definitive repair of the anomaly. A brief review of the relevant literature is included.ConclusionDelayed presentation of a patient with high anorectal malformation is rare. The appropriate treatment can be rewarding.

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“…This may cause a delay in diagnosis as perineal examination is not a routine in the countryside. The delay in diagnosing this condition may lead to death [4,5]. …”

Section: Discussionmentioning

confidence: 99%

High anorectal malformation in a five-month-old boy: a case report

et al. 2010

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“…(13) Therefore, it is recommended that a newborn be evaluated for physical defects, with perineal examination being conducted within the first day after birth. (14) Diagnosis 48 hours after birth has been accepted to be late diagnosis, and in 13% of the patients reported in the literature, diagnosis was made after 48 hours.…”

Section: Discussionmentioning

confidence: 99%

Rectocutaneous fistula with imperforate anus in an adult

Duman¹,

Özdemi̇r²,

Yigitler³

et al. 2013

SMedJ

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Adult presentation of a rectocutaneous fistula with imperforate anus is rare. We report the case of a 22-year-old man who presented with an anorectal malformation and a rectocutaneous fistula. The patient complained of faecal matter passing through the external orifis of a fistula located at the distal part of his scrotum. He was continent for solid faeces, but had leakage of flatus and faecal soiling. He had no other associated anomaly. The patient subsequently underwent a surgical procedure where anal transposition was done. Postoperative recovery was uneventful, and the patient was fully continent at control examination.

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“…2,5,6 We used a diagnostic delay criterion of 48 hours in our study as standardized international guidelines recommend a routine physical examination of all newborns before discharge and at least within the first 48 hours of life. 1,2 Diagnosis, male/female ratio, gestational age, birth weight according to gestational age, caesarean section rate, inpatient duration and survival rates were similar between groups diagnosed on time and delayed.…”

Section: Discussionmentioning

confidence: 99%

Delayed Referral of Congenital Anomalies

Çavuşoğlu¹,

Karaman²,

Karaman³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Standardized international guidelines recommend a routine physical examination of all newborns before discharge, at least within the first 48 hours of life. The aim of this study was to determine the extent of delayed diagnosis in newborns with early detectable congenital anomalies. M Ma at te e--r ri ia al l a an nd d M Me et th ho od ds s: : Neonates admitted to our pediatric surgery clinic with a diagnosis of congenital anomalies between 2005 and 2010 were retrospectively reviewed. The cohort consisted of patients with imperforate anus, esophageal atresia and congenital abdominal wall defect. A diagnosis made 48 hours or later after birth was considered late diagnosis. R Re es su ul lt ts s: : A total of 236 newborn patients, requiring surgery for congenital anomalies, were admitted to the clinic during this period. A total of 119 patients had anomalies that would be expected to be diagnosed at an early stage. The diagnosis was delayed in 20.2%. In 8 cases, although the diagnosis was early, the baby was taken home by the family. In total, the diagnosis was not made appropriately and on time in 26.9%. The time of diagnosis was 3-15 days in those with a delayed diagnosis (median 4.5 days). Eleven patients with prenatal diagnosis were diagnosed on time. The inpatient duration and survival rates were not different. C Co on nc cl lu us si io on n: : Despite the early diagnosis in patients with a prenatal diagnosis, babies who needed a multidisciplinary approach were born in hospitals without newborn or pediatric surgery departments. Diagnostic delays can be reduced by starting an awareness program among health workers for neonatal surgical problems.K Ke ey y W Wo or rd ds s: : Abnormalities; diagnosis; infant, newborn, diseases; esophageal atresia; anus, imperforate Ö ÖZ ZE ET T A Am ma aç ç: : Standardize uluslararası kılavuzlar, tüm yenidoğanlara, hastaneden taburcu olmadan önce ve her koşulda yaşamın ilk 48 saatinde rutin fizik muayene yapılmasını önermektedir. Çalışmanın amacı, yenidoğanların erken tespit edilebilir konjenital anomalilerinde tanı gecikmesinin boyutunu tespit etmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çocuk cerrahisi kliniğimize 2005 ve 2010 tarihleri arasında konjenital anomali tanısıyla başvuran yenidoğanlar retrospektif olarak değerlendirildi. Bu kohort, imperfore anüs, özofagus atrezisi ve konjenital karın duvarı defekti olan hastalardan oluşmaktadır. Doğumdan sonraki 48. saatte ve daha sonrasında tanı konulması gecikmiş tanı olarak kabul edildi. B Bu ul lg gu ul la ar r: : Bu dönemde 236 yenidoğan hasta cerrahi gerektiren konjenital anomali tanısıyla kliniğimize başvurmuştu ve 199 hastada erken dönemde tanı konulması beklenen anomali vardı. Bunların 24 (%20,2)'ünde tanı gecikmişti. Ayrıca sekiz hastada tanı ilk 48 saat içerisinde konulmuş ama hasta ailesi tarafından evden getirilmişti. Toplam olarak hastaların %26,9'unda tanı zamanında ve uygun şekilde konulmamıştı. Gecikmiş tanı konulanlarda tanı konulma süresi 3...

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Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications

Abstract: Delays in the diagnosis of anorectal malformations are much more common than previously thought. A delay in diagnosis significantly increases the risk of serious early complications and death.

Cited by 28 publications

References 16 publications

High anorectal malformation in a five-month-old boy: a case report

High anorectal malformation in a five-month-old boy: a case report

Rectocutaneous fistula with imperforate anus in an adult

Delayed Referral of Congenital Anomalies

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