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Enterolithiasis with imperforate anus: report of a case
Yogesh Kumar Sarin1, Arvind Sinha
1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi-110002, India.
Pediatric Surgery International
|February 25, 2003
Summary
A child with imperforate anus developed severe anal stenosis and enteroliths due to a recto-urethral fistula. Prompt surgical intervention is crucial for managing complex anorectal malformations and preventing complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Urology
Background:
- Imperforate anus is a congenital condition requiring timely surgical correction.
- Fistula formation is a known complication, potentially leading to long-term issues.
- Enteroliths are rare complications in pediatric surgical cases.
Observation:
- A three-year-old child with a history of imperforate anus repair presented with severe anal stenosis.
- The patient subsequently developed multiple radio-opaque shadows in the pelvis.
- These findings were consistent with enterolith formation.
Findings:
- Enteroliths were identified in the distal rectal stump.
- A large recto-urethral fistula was suspected as the primary cause of enterolithiasis.
- Urinary stasis associated with the fistula likely contributed to enterolith formation.
Implications:
- This case highlights the importance of thoroughly assessing and repairing fistulas in imperforate anus cases.
- Early recognition and management of recto-urethral fistulas are critical to prevent complications like enteroliths.
- Further research into long-term outcomes of complex anorectal malformations is warranted.
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