Rectocutaneous fistula with imperforate anus in an adult

Abstract

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.

Delayed presentation of congenital rectal stenosis associated with Down's syndrome and hypothyroidism: Case report

“…The reasons for the delayed presentations in these cases were reported as family negligence, family problem, social taboo, low‐economic condition, low level of education, not seeking medical advice, awareness about physical problems only during the time of decision for marriage, and lack of access to medical care. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 …”

Successful management without protective colostomy in an adult patient with anorectal mal-formation

“…A patient with an anorectal anomaly seeking medical assistance and treatment for the first time in adulthood is a rare occurrence (1,5). These patients are usually diagnosed and treated during infancy and childhood.…”

“…In our patient, preoperative tests revealed these structures and the anocutaneous reflex to be normal. In the literature, PSARP has been reported to be a successful method with satisfactory results in the rare adult patients with anorectal malformations (1)(2)(3)(4)(5). The crucial part of this surgical technique is the dissection and separation of the rectovaginal wall at full thickness.…”

Anorectal Atresia with Rectoscrotal Fistula: A Rare Anorectal Malformation

“…[1][2][3][4][5] This entity could be easily mistaken for a low type of ARM, and could lead to an inappropriate perineal surgical procedure. Hence, one should suspect an intermediate ARM when the catheter passes obliquely and cranially, rather than backwards; this should be further confirmed by a contrast study.…”

“…Anal transposition has been described before for this anomaly in a much older individual. [5] We performed the procedure at the age of four weeks and achieved the placement of the bowel within the continence mechanism, in the midline, without extensive division of the sphincter muscle complex. Initial indicators of continence are encouraging in the infant.…”