Mortality and morbidity associated with late diagnosis of anorectal malformations in children

Anorectal Malformation: Presentation Beyond Adolescence

“…It also leads to recurrent genital and urinary tract infections and may even lead to infertility. Delayed presenters also have inadequate weight gain and increased parental anxiety for a greater period of time [4,5]. Anterior or posterior sagittal anorectoplasty has been the operation of choice in terms of long-term anorectal function [6].…”

Palm kernels impaction in anorectal malformation: An unusual presentation in an 8-year-old boy

“…The treatment is rewarding and the infrequently associated multiple congenital malformations usually give excellent outcome as recorded in this patient. [1][2][3]7,8] In conclusion, poor awareness and unavailable personnel resulted in unusual presentation of an 8-year-old boy with a low anorectal malformation who was managed from birth with traditional medications until he presented with intestinal obstruction following palm kernels impaction in the anorectum. We advocate more public enlightenment campaigns on anorectal malformations and thorough perineal examination of babies by birth attendants before they are discharged home after birth.…”

“…[1][2][3][4] The often associated multiple congenital malformations and high risk of sepsis result in poor outcome especially in developing countries. [1,2] A better understanding of the pathophysiology of the lesion, early presentation, prompt diagnosis, appropriate and timed surgical management have resulted in excellent outcomes for affected children.…”

“…[1,2] A better understanding of the pathophysiology of the lesion, early presentation, prompt diagnosis, appropriate and timed surgical management have resulted in excellent outcomes for affected children. [3] In regions where awareness and resources are poor, late presentation and different inappropriate management, which influenced outcome, have been reported. [1,2,[4][5][6] However, late childhood presentation of anorectal malformation after management from birth using traditional medications and presentation with intestinal obstruction following foreign body impaction in the anorectum is unusual and scant in the literatures.…”

Congenital High Type Anorectal Malformation (Recto - Vaginal Fistula) in a 7 Months Old Girl: A Case Report

“…Delay in diagnosis of ARM may lead to early complications like abdominal distension, vomiting, dehydration, intestinal perforation, respiratory distress, sepsis and even death [8,9] Late complications like megarectum, megacolon require decompression in the form of a stoma and may cause poor functional outcome of the definitive repair. [10] The absence of the symptoms in our patient despite high type of ARM is attributed to the large fistulous communication between the rectum and the vagina.…”