Imperforate Anus Associated with Atresia of the Transverse Colon: A Case Report

Πετρόπουλος, Αναστάσιος; Mouravas, V.; Kepertis, Chrysostomos; Dimopoulos, C.; Roussis, X.

doi:10.1055/s-2004-815878

Cited by 12 publications

(13 citation statements)

References 12 publications

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“…Worldwide, coexistence of these anomalies in a single patient has been reported only a handful of times (Goodwin et al 2006;Petropoulos et al 2004;Dickinson 1967). To our knowledge, neither CA, ARM nor a combination of the disorders has been reported in the Haitian population or greater Caribbean.…”

Section: Introductionmentioning

confidence: 99%

Colonic atresia and anorectal malformation in a Haitian patient: a case study of rare diseases

et al. 2014

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IntroductionColonic atresia and anorectal malformation are rare congenital anomalies individually. Few reports of the conditions combined in a single patient have been published in the literature. Neither colonic atresia, anorectal malformation or a combination of the disorders has previously been reported in the Haitian population.Case presentationA 5-day-old female presented with feculent emesis, failure to pass stool since birth and an imperforate and stenotic anus. Exploratory laparotomy revealed colorectal atresia distal to a malformed cecum and a Wingspread low subtype anorectal malformation without any associated urogenital fistulae. Temporizing percutaneous ileal drainage was followed by second-stage anal perforation and dilation, ileal J-pouch and pull through.DiscussionThis is the first reported case of colonic atresia, anorectal malformation or the combination of the disorders among the Haitian population and one of only a handful of such cases reported worldwide. Although vascular accidents in utero have been implicated as the etiology of colonic atresia, simultaneous presence of anorectal malformation suggests a multifactorial cause. Investigation for multisystem abnormalities is warranted. Two-staged operative correction is considered the best treatment; however, long-term postoperative outcomes are uncertain.ConclusionThe coexistence of colonic atresia and anorectal malformation is a very rare occurrence and presents unique clinical and operative challenges. Investigation for additional congenital abnormalities is appropriate, and although two-stage operative correction is considered the best treatment, long-term outcomes are uncertain.

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Section: Introductionmentioning

confidence: 99%

Colonic atresia and anorectal malformation in a Haitian patient: a case study of rare diseases

et al. 2014

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“…Colonic atresia has been reported as isolated atresia as well as combined small bowel and colonic atresia in association with ARM [2,[5][6][7]. In our case it was not diagnosed in the neonatal period, but revealed after distal loopogram.…”

Section: Discussionmentioning

confidence: 54%

Alimentary Tract Atresias associated with Anorectal Malformations: 10 Years’ Experience

Saha

2016

J Neonat Surg

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Anorectal malformation (ARM) is one of the most common congenital anomaly that requires emergency surgery in the neonatal period. ARMs are frequently associated with other life threatening congenital anomalies. Commonly associated anomalies are genito-urinary, cardiovascular, gastro-intestinal, skeletal and spinal. Alimentary tract anomalies are frequently masked by the intestinal obstruction produced by the anorectal atresia. This retrospective study was carried out to find out the incidence of associated alimentary tract atresias with ARM. In our series, out of 785 cases of high ARM, 14 cases had associated esophageal atresia (1.8%), followed by 7 cases of duodenal atresia (0.89%), and followed by pyloric atresia, jejuno-ileal atresia and colonic atresia.

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“…Jejuno-ileal atresias have previously been described in association with ARM [2]. Similarly colonic atresias have also been reported in ARM patients in three patients [3][4][5]. Combined jejuno-ileal and colonic atresias have never been reported in association with ARM (to the best of authors' knowledge).…”

mentioning

confidence: 73%

“…Prematurity has probably some relationship to immaturity of blood vessels leading to vascular insult to the developing gut, giving rise to atresias. ARM patients presenting with drooling of saliva, bilious or non-bilious vomiting in presence of non distended abdomen must give rise to a suspicion of associated atresia in the mind of the attending surgeon [2][3][4]. Though rare, the association of atresias with ARM must be kept in mind during colostomy formation.…”

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confidence: 99%

Anorectal Malformation Associated with Small and Large Bowel Atresias: A Rare Association

Maitra

Sarkar

2012

J Neonatal Surg

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Anorectal malformation (ARM) is one of frequent neonatal surgical problem managed in pediatric surgical units. Gastrointestinal malformations are associated in approximately 5% cases of ARM. Some of the common associations are oesophageal atresia and trachea oesophageal fistula, duodenal atresia, hirschsprung`s disease, pouch colon and neuronal intestinal dysplasia [1]. Association of ARM with either colonic atresia or jejuno-ileal atresia has rarely been reported in literature [2-5]. Here we report a case of ARM associated with both colonic and multiple jejuno-ileal atresias.

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Imperforate Anus Associated with Atresia of the Transverse Colon: A Case Report

Cited by 12 publications

References 12 publications

Colonic atresia and anorectal malformation in a Haitian patient: a case study of rare diseases

Colonic atresia and anorectal malformation in a Haitian patient: a case study of rare diseases

Alimentary Tract Atresias associated with Anorectal Malformations: 10 Years’ Experience

Anorectal Malformation Associated with Small and Large Bowel Atresias: A Rare Association

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