Abstract

ANORECTAL MALFORMATION IN PEDIATRIC PATIENT: A CASE REPORT

Dr. Pradeep S. Mannikatti*, Gunupati Balamani Chandana, Gladys K. Siji and

Abstract

Anorectal Malformations are the birth anomalies in which the rectum and anus are malformed, do not develop properly. They may be born with either anal agenesis (or) small opening in the wrong place (or) narrowed opening at the bottom. The main symptoms include new born do not pass stools even after 24-48 hours of birth, opening to the anus is either absent or is displaced to different location, stool may pass out, either through vagina, base of the penis, scrotum or urethra, presence of fistula between the rectum, reproductive organ and urethra is observed, presence of meconium in urine. A 1 year old female patient came with the known case of anorectal anomaly with colostomy insitu came for colostomy closure. She also had a past medical history of anorectal malformation stage-1 surgery at 1 month of age, cleft lip repair at 6 months of age, anorectal malformation stage-2 surgery at 7 month of age. The patient had no family history. The treatment option for imperforate anus is surgery, here in this patient Posterior Sagittal AnoRectoPlasty (PSARP) was done, it mainly involves 3 stages stage-1 is colostomy, stage-2 is PSARP, stage-3 is colostomy closure, following the patient was discharged upon recovery. This case underscores the importance of anorectal agenesis in pediatric patient and should be diagnosed and treated immediately after the baby is born. Early diagnosis and treatment are needful to prevent further complications like intestinal obstruction, bloating, not able to pass stools.

Keywords: Anorectal malformations (ARMs), Anal agenesis, Imperforate anus, Fistula, Posterior Sagittal AnoRectoPlasty (PSARP), Colostomy closure, Congenital anomalies.