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ANORECTAL MALFORMATION IN FEMALE

Anorectal They are mostly missed or present late unlike MALE ANORECTAL MALFORMATION because of ignorance in detection in newborn period.

COMMON REASON BEING

  • Mostly Male ANORECTAL Malformation are High and have rectourethral fistula and they present with abdominal distension. So well apparent even if missed at delivery.
  • FEMALE ANORECTAL MALFORMATION ARE LOW MALFORMATION WITH FISTULA COMMONEST BEING RECTOVESTIBULAR FISTULA , and they decompress well mostly. So there is no abdominal distension.

Still it's important that we examine Female ANORECTAL malformation while newborn screening for congenital external malformation.

One very common reason why we miss it šŸ˜šŸ«£will be agreed by you all. We are dependant on our staff and habit of asking whether the baby has passed stool. The stained diapers gives a positive affirmation and we hardly bother. When parents take the baby home and come shouting it makes all the difference...

So just sharing a small video so that we are well learnt in picking up female ANORECTAL MALFORMATION and timely referral to Pediatric Surgeon.

Mostly a well decompressing female ANORECTAL malformation needs.

  • CORRECT DIAGNOSIS
  • USG KUB AS 30- 50 % association with genitourinary anomaly
  • 2DECHO 20% association with CHD
  • USG SPINE: RULE OUT TETHERED CORD
  • SURGERY PLAN DEPENDS On Surgeon

I mostly do Definitive surgery at 3 -6 months which is ANTERIOR SAGGITAL ANORECTOPLASTY . In case of narrow vestibular fistula a SIGMOID COLOSTOMY is required in Neonatal period.

Thank you - Hope the discussion proves useful.