Duman K, Ozdemir Y, Yigitler C, Gulec B
Correspondence: Yavuz Ozdemir, dryozdemir@yahoo.com
ABSTRACT
Adult presentation of a rectocutaneous fistula with imperforate anus is rare. We report the case of a 22-year-old man who presented with an anorectal malformation and a rectocutaneous fistula. The patient complained of faecal matter passing through the external orifis of a fistula located at the distal part of his scrotum. He was continent for solid faeces, but had leakage of flatus and faecal soiling. He had no other associated anomaly. The patient subsequently underwent a surgical procedure where anal transposition was done. Postoperative recovery was uneventful, and the patient was fully continent at control examination.
Keywords: adult, imperforate anus, rectocutaneous fistula
Singapore Med J 2013; 54: e85-e87; http://dx.doi.org/10.11622/smedj.2013088
1. Spouge D, Baird PA. Imperforate anus in 700,000 consecutive liveborn infants. Am J Med Genet Suppl 1986; 2:151-61. http://dx.doi.org/10.1002/ajmg.1320250619 |
||||
2. Walters D, Burjonrappa S, Chun K. Imperforate anus, diaphragmatic hernia, horseshoe kidney, and pulmonary sling complex: case description. J Pediatr Surg 2011; 46:e5-7. http://dx.doi.org/10.1016/j.jpedsurg.2011.05.011 |
||||
3. Solomon BD, Raam MS, Pineda-Alvarez DE. Analysis of genitourinary anomalies in patients with VACTERL (Vertebral anomalies, Anal atresia, Cardiac malformations, Tracheo-Esophageal fistula, Renal anomalies, Limb abnormalities) association. Congenit Anom (Kyoto) 2011; 51:87-91. http://dx.doi.org/10.1111/j.1741-4520.2010.00303.x |
||||
4. Lam YH, Shek T, Tang MH. Sonographic features of anal atresia at 12 weeks. Ultrasound Obstet Gynecol 2002; 19:523-4. http://dx.doi.org/10.1046/j.1469-0705.2002.00694.x PMid:11982991 |
||||
5. Fedele L, Bianchi S, Frontino G, et al. Laparoscopic findings and pelvic anatomy in Mayer-Rokitansky-Küster-Hauser syndrome. Obstet Gynecol 2007; 109:1111-5. http://dx.doi.org/10.1097/01.AOG.0000260872.28368.46 |
||||
6. Aziz MA, Banu T, Prasad R, Khan AR. Primary anterior sagittal anorectoplasty for rectovestibular fistula. Asian J Surg 2006; 29:22-4. http://dx.doi.org/10.1016/S1015-9584(09)60288-8 |
||||
7. Penã A, Hong A. Advances in the management of anorectal malformations. Am J Surg 2000; 180:370-6. http://dx.doi.org/10.1016/S0002-9610(00)00491-8 |
||||
8. Georgeson KE, Inge TH, Albanese CT. Laparoscopically assisted anorectal pull-through for high imperforate anus--a new technique. J Pediatr Surg 2000; 35:927-30. http://dx.doi.org/10.1053/jpsu.2000.6925 |
||||
9. Terzi A, Co?kun A, Y?ld?z F, Çoban S, Ak?nc? OF. Anovestibular fistula with imperforate anus in two adults. Ann Saudi Med 2008; 28:472-4. http://dx.doi.org/10.4103/0256-4947.51677 |
||||
10. Digray NC, Mengi Y, Goswamy HL, Thappa DR. Colorectal perforations in neonates with anorectal malformations. Pediatr Surg Int 2001; 17:42-4. http://dx.doi.org/10.1007/s003830000436 |
||||
11. Rintala RJ. Congenital anorectal malformations: anything new? J Pediatr Gastroenterol Nutr 2009: 48 Suppl 2:S79-82. http://dx.doi.org/10.1097/MPG.0b013e3181a15b5e |
||||
12. Eltayeb AA. Delayed presentation of anorectal malformations: the possible associated morbidity and mortality. Pediatr Surg Int 2010; 26:801-6. http://dx.doi.org/10.1007/s00383-010-2641-2 |
||||
13. Lindley RM, Shawis RN, Roberts JP. Delays in the diagnosis of anorectal malformations are common and significantly increase serious early complications. Acta Paediatr 2006; 95:364-8. http://dx.doi.org/10.1080/08035250500437523 |
||||
14. Seidel HM, Rosenstein BJ, Pathak A, McKay W, eds. Primary care of the newborn. 4th ed. Philadelphia: Elsevier, 2006: 37-60. | ||||
15. Chirdan LB, Ameh EA. Neonatal intestinal perforation in a developing country. Ann Trop Paediatr 2001; 21:26-8. http://dx.doi.org/10.1080/02724930020028876 |