tailieunhanh - báo cáo khoa học: "High anorectal malformation in a five-month-old boy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: High anorectal malformation in a five-month-old boy: a case report | Pandey et al. Journal of Medical Case Reports 2010 4 296 http content 4 1 296 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access High anorectal malformation in a five-month-old boy a case report Anand Pandey Ajay N Gangopadhyay Vijayendra Kumar Shiv P Sharma Abstract Introduction Anorectal malformation one of the most common congenital defects may present with a wide spectrum of defects. Almost all male patients present within first few days of life. Case presentation A five-month-old baby boy of Indian origin and nationality presented with anal atresia and associated rectourethral prostatic fistula. The anatomy of the malformation and our patient s good condition permitted a primary definitive repair of the anomaly. A brief review of the relevant literature is included. Conclusion Delayed presentation of a patient with high anorectal malformation is rare. The appropriate treatment can be rewarding. Introduction Anorectal malformation ARM is one of the most common congenital defects having an incidence of between one per 1500 and one per 5000 live births 1 2 . This anomaly is characterized by an absent anal opening the rectum may either communicate with the urinary tract by a fistula or end blind. ARM may present with a wide spectrum of defects ranging from relatively low malformations to very complex high defects 2 . ARMs are usually diagnosed at birth. If not almost all male patients present within the first few days of life with obstructive symptoms because of absent or narrow fistula. We present a male patient of high ARM who exceptionally presented at the age of five months. Case presentation A five-month-old baby boy of Indian origin and nationality presented to the department of Pediatric Surgery at the Institute of Medical Sciences Banaras Hindu University with absent anal opening along with passage of flatus and feces through the urethra since birth without any problem Figures 1 and 2 . On examination his abdomen was

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