Anorectal malformation with a rectovestibular fistula in a 14-year-old adolescent. Case report

Anorectal malformation (ARM), commonly mislabeled as "imperforate anus," stands out as one of the most prevalent congenital anomalies. The ARM classification encompasses all congenital caudal anomalies associated with an imperforate anus. While the majority of cases are identified during t...

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Autores:
Tipo de recurso:
Fecha de publicación:
2023
Institución:
Pontificia Universidad Javeriana Cali
Repositorio:
Vitela
Idioma:
spa
OAI Identifier:
oai:vitela.javerianacali.edu.co:11522/563
Acceso en línea:
https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1390
https://vitela.javerianacali.edu.co/handle/11522/563
Palabra clave:
Malformación anorrectal
Ano imperforado
Anomalías del sistema digestivo
Anomalías congénitas
Fístula vaginal
Pediatría
Cirugía
Anorectal malformation
Imperforate anus
Digestive system abnormalities
Congenital abnormalities
Vaginal fistula
Pediatrics
Surgery
Rights
License
Derechos de autor 2023 Salutem Scientia Spiritus
Description
Summary:Anorectal malformation (ARM), commonly mislabeled as "imperforate anus," stands out as one of the most prevalent congenital anomalies. The ARM classification encompasses all congenital caudal anomalies associated with an imperforate anus. While the majority of cases are identified during the neonatal period or early childhood, there are instances where diagnosis occurs in adolescence. This manuscript aims to present the case of a 14-year-old patient with an anorectal malformation featuring a late-diagnosed rectovestibular fistula. The corrective procedure employed was a posterior sagittal anorectoplasty, yielding a positive postoperative outcome. The case analysis includes a clinical history description, patient images, a surgical technique description, and a literature review on anorectal malformations. In conclusion, anorectal malformation proves to be a common congenital anomaly, with sporadic cases being diagnosed in adolescence. In our developing country, various factors contribute to delayed diagnoses, such as misinformation, illiteracy, and poverty. To mitigate complications, achieve favorable postoperative results, and enhance the quality of life for these patients, early identification of ARM cases is crucial. Therefore, it is imperative to educate medical professionals and raise awareness among family members to encourage early consultations.