Late Diagnosis of Anorectal Malformations in Children

Statovci, Sejdi; Grajçevci, Salih; Berisha, Murat; Çeku, Gani; Ademaj, Isber; Ukeperaj, Kujtim

doi:10.4236/ss.2015.63023

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…The Italians patient sample displayed more of an equivalent male to female ratio, whereas the South African sample displayed more of a male predominance, which is similar to the literature published in both cases [2,24]. The African statistic may be biased, as female ARM diagnoses may be more easily missed at birth without expert examination [25][26][27]. Of statistical significance additionally was a higher maternal age in the Italian sample (38 years old vs the South African 28 years old).…”

Section: Discussionsupporting

confidence: 77%

“…For babies that were born outside a medical facility, a delayed diagnosis was made if the neonate presented more than 48 h postpartum. A delay in diagnosis seems to be a common factor in the African setting, but not exclusive to it as can be seen in studies conducted in India, Ireland, Serbia and even Australia [26,27,31,32]. The more benign forms of ARMs are the ones most commonly missed.…”

Section: Discussionmentioning

confidence: 99%

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Comparison in the incidence of anorectal malformations between a first- and third-world referral center

et al. 2015

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Purpose Aim of study was to evaluate the differences in incidence and presentation of anorectal malformations (ARMs) between selected Pediatric Surgery Divisions in the Republic of South Africa (ZAR) and Italy. Methods A retrospective cohort study involved analysis of clinical records of patients with ARM born between 2005 and 2012. Type of ARM, maternal age, birth weight, gestational age, presence of associated anomalies and delayed diagnosis were analyzed. Results 335 patients were included in this study. Of note, statistically significant differences between the African and European patient groups were observed in a male predominance in the ZAR patient population. In addition, female recto-perineal fistulas were diagnosed in significantly more Italian patients than in ZAR. Furthermore, a more advanced maternal age and a lower gestational age was noted in the European cohort with a minimal delay in initial diagnosis as opposed to the African counterpart. Both centers reported recto-perineal fistula as the most common malformation in male patients. Conclusion With the exception of perineal fistulas in females, the incidence of specific subtypes of ARMs was similar in the two groups. This may be of importance when extrapolating European study conclusion to the South African setting.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Comparison in the incidence of anorectal malformations between a first- and third-world referral center

et al. 2015

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“…There was a delay in presentation in 94 % of the cases. Anorectal malformation is the most common cause of intestinal obstruction in the early neonatal period which was demonstrated in the study done in the same institute (10). However, it is noted that there is delay in presentation to our hospital.…”

Section: Discussionmentioning

confidence: 81%

Management of Anorectal Malformation: Experience from Ethiopia

Gama¹,

Tadesse²

2018

Ann Afr Surg.

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Background: Anorectal malformations are among the most common congenital malformation seen in children. There is paucity of data regarding the incidence and treatment outcome of this disease from Ethiopia. Methods: This is a retrospective review of patients treated for ARM at the TASH from March 2010-February 2014. Relevant statistical analysis was done and the results presented in tables and graphs. Results: Six patients (6%) presented at early neonatal age (before the age of 4 days) and 14 (14%) presented between 4 days and one month. A total of 57 associated congenital malformations were diagnosed in 44/99(44%) patients. The two most common type of ARM diagnosed among the female patients were rectovestibular fistula which occurred in 39/56 (70%) and

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“…Contrary to this, Statovci S et al analyzed 76 patients with ARM, of them 18 (23.68%) patients presented beyond neonatal period. 9 …”

Section: Discussionmentioning

confidence: 99%

Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns

Perveen

S²,

Jabbar³

et al. 2021

Pak J Med Sci

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Objective: To determine the frequency of place of delivery and person detecting the anomaly among newborn babies presenting with delayed diagnosis of anorectal malformation (ARM). Methods: This is a Descriptive Cross-Sectional Study, conducted at Department of Paediatric Surgery, National Institute of Child Health (NICH) Karachi, from February 19, 2019 to August 18, 2019. All patients with ARM who were diagnosed beyond two hours of life (Delayed diagnosis) were included in the study. Chi square test was applied for comparison of categorical variables. Results: Total 110 patients were enrolled in this study. Nineteen (17.3%) patients were delivered at home, while 91 (82.7%) were delivered at the hospital. The first person detecting the anomaly was grandmother (n=25) or a non-medical person in 58 patients (52.7%), 52 were diagnosed by a medical personal either primarily in 31 cases (28.2%) or secondarily by a neonatologist in 21 cases (19.1%). Conclusion: It is concluded that Non-medical person detected ARM mainly despite the babies being delivered mostly at the hospital, indicating the need for meticulous neonatal examination. doi: https://doi.org/10.12669/pjms.38.1.4156 How to cite this:Perveen S, Ali S, Jabbar A, Fatima B. Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4156 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Late Diagnosis of Anorectal Malformations in Children

Cited by 8 publications

References 20 publications

Comparison in the incidence of anorectal malformations between a first- and third-world referral center

Comparison in the incidence of anorectal malformations between a first- and third-world referral center

Management of Anorectal Malformation: Experience from Ethiopia

Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns

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