Presentation
Fistula – absent or present. Fistula type – involving which structures. Describe procedures to assess further additional malformations (e.g. spine radiographs, echocardiogram) and if one or more is present, describe. [cdc.gov]
Other variants include anterior ectopic anus. [7] This form is more commonly seen in females and presents with constipation. [8] Treatment [ edit ] Imperforate anus usually requires immediate surgery to open a passage for feces unless a fistula can be [en.wikipedia.org]
In light of the data presented here, we conclude that local anatomy is more precisely presented for surgical planning when using MRI compared to colostography/fistulography. [ncbi.nlm.nih.gov]
Workup
In conclusion, our results indicate that high resolution MRI without sedation is feasible and of great value in the diagnostic preoperative workup of patients with an ARM. [ncbi.nlm.nih.gov]
Treatment
Anorectal Malformations in Children: Embryology, Diagnosis, Surgical Treatment, Follow-up. Springer. pp. 31–48. doi : 10.1007/978-3-540-31751-7_3. [en.wikipedia.org]
The hemangioma required no treatment and involuted spontaneously when the patient was 6 years old. [analesdepediatria.org]
Preliminary report on the international conference for the development of standards for the treatment of anorectal malformations. J Pediatr Surg. 2005; 40 :1521–1526. doi: 10.1016/j.jpedsurg.2005.08.002. [ PubMed ] [ CrossRef ] [ Google Scholar ] 4. [ncbi.nlm.nih.gov]
Prognosis
Prognosis [ edit ] With a high lesion, many children have problems controlling bowel function and most also become constipated. With a low lesion, children generally have good bowel control, but they may still become constipated. [en.wikipedia.org]
This will influence the planning of surgery and the final prognosis. Although magnetic resonance imaging (MRI) has been proposed as an alternative, effectively circumventing the radiation issue, literature is still sparse and dated [ 6 – 12 ]. [ncbi.nlm.nih.gov]
Etiology
Genetic and nongenetic etiology of nonsyndromic anorectal malformations: a systematic review. Birth Defects Res C Embryo Today. 2014; 102 :382–400. doi: 10.1002/bdrc.21068. [ PubMed ] [ CrossRef ] [ Google Scholar ] 2. [ncbi.nlm.nih.gov]
Epidemiology
Clinical and epidemiologic notes Only one third of anorectal anomalies are isolated. [cdc.gov]
"Genetics, Pathogenesis and Epidemiology of Anorectal Malformations and Caudal Regression Syndrome". In Holschneider, Alexander Matthias; Hutson, John M. (eds.). [en.wikipedia.org]
Prevention
7th-century Byzantine physician Paulus Aegineta described a surgical treatment for imperforate anus for the first time. [14] 10th-century Persian physician Haly Abbas was the first to highlight preserving the sphincter muscles throughout the surgery and the prevention [en.wikipedia.org]