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Anorectal malformation with malrotation of gut

J K Mahajan1, D Kumar, S K Chowdhary

  • 1Department of Pediatric Surgery, Advanced Pediatric Center, PGIMER, Chandigarh, India. jkmahajanjk@sify.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|March 29, 2003
PubMed

Insights

Anorectal malformation in infants is often linked to other congenital anomalies. However, this report highlights two rare cases where anorectal malformation co-occurred with malrotation of the gut, emphasizing diagnostic and surgical considerations.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Gastrointestinal Motility Disorders

Background:

  • Infants with anorectal anomaly (ARA) exhibit a high prevalence of associated congenital anomalies.
  • Gastrointestinal tract anomalies are infrequently observed in conjunction with ARA.
  • Malrotation of the gut (MG) is a rare anomaly to be associated with ARA.

Observation:

  • This report details two neonates diagnosed with both anorectal malformation and malrotation of the gut.
  • The co-occurrence of these two conditions presents unique diagnostic challenges.

Findings:

  • The study underscores the rarity of malrotation of the gut in infants with anorectal malformation.
  • Diagnostic difficulties in identifying concurrent malrotation of the gut in neonates with ARA are highlighted.

Implications:

  • A high index of suspicion is crucial for diagnosing co-existing malrotation of the gut in infants with anorectal malformation.
  • Surgical management requires careful consideration to avoid complications such as appendicectomy in these complex cases.
  • This case series contributes to understanding the rare association between ARA and MG, informing clinical practice.

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