Observation of congenital anorectal anomalies in infant & children
Dr. Manoj Kumar, Dr. Rekha Sinha, Dr. AR Choudhary
Present work “Observation on Congenital anorectal anomalies in infant and children was done in the department of Obstaterics and Gynaecology at Patna Medical College, Patna. For this work 20 cases of anorectal anomalies were observed in infant and children. The anomalies were more common in male (male: female = 3: 1). There was no definite relation to the number of pregnancies of mother, although a decrease in incidence was found with increased number of pregnancies. All cases have been divided in Low type and High type, which helps in diagnosis, treatment and prognosis. High type anomalies were found to be more common than low type. Anorectal fistula was 36.33%, which were more in high type of cases than in low type. Recto-vaginal fistula was the commonest type in female child were as recto-vesical and recto-urethral fistulas were common in male. For diagnosis invertogram, fistulogram and barium enema were helpful. Low types of cases were treated by repeated dilatation of anus or by simple operation. 10 cases were treated by proctoplasty without any mortality. Overall mortality rate was 7.14 people. The high type cases were treated as surgical emergency. In 25 cases of high type with mortality rate of 25.92%. Observation of these cases have reemphasized the fact that there should be a routine practice of examinee of anal opening at birth which might help in defecation.
Dr. Manoj Kumar, Dr. Rekha Sinha, Dr. AR Choudhary. Observation of congenital anorectal anomalies in infant & children. International Journal of Medical and Health Research, Volume 4, Issue 5, 2018, Pages 61-62