Anorectal Malformation: Presentation Beyond Adolescence

Abstract

Abstract:Introduction: One in 5,000 live births is found to have anorectal malformations with a female preponderance. These patients are managed during the first year of their life with advanced health care facilities. Still a few cases present in adult life. Case Report: One such case of a 24 year old female is reported here who presented with chronic constipation. Transverse colostomy was done at birth, soon after diagnosing anorectal malformation. The stoma underwent spontaneous closure and she continued to pass faeces through anovestibular fistula. Anterior sagittal anorectoplasty was performed and a continent neo-anus was created. Conclusion: Careful neonatal examination shall diagnose all anorectal malformations at birth. Illiteracy, lack of neonatal health care, inadequate medical facilities are some of the reasons for the delayed diagnosis and persistence of this condition till adulthood. Most pediatric surgeons consider posterior sagittal anorectoplasty as the procedure of choice in treating anorectal malformation.

15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report

“…In some rural areas in Uganda, neonates with ARMs are considered cursed and are marginalized. These patients usually present because of marital reasons as the girl approaches puberty [8][9][10][11][12].…”

Single stage repair of anorectal malformation with rectovestibular fistula in adult

“…With greater awareness and visible cosmetic distress, the majority of cases are recognised and rectified at birth [ 1 ]. Delay in diagnosis is linked to the development of chronic constipation or social and psychological morbidity as a result of issues with defecation control, flatus passage, and sexual activity and must usually leave paediatric surgical institutions around late adolescence (15–21 years) [ 2 , 3 ]. During the 1980s, the PSARP Posterior Sagittal Ano- Rectoplasty was introduced by Pena and soon became the preferred way to surgically correct these malformations [ 1 , 4 ].…”