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Associated anomalies with anorectal malformation (ARM).
Amit Mittal1, Raj Kumar Airon, Sarita Magu
1Department of Radiodiagnosis, Pt. B.D. Sharma PGIMS, Rohtak, India.
Indian Journal of Pediatrics
|July 1, 2004
Summary
Anorectal malformation (ARM) is frequently linked with other health issues, particularly in high-type ARM cases. Early detection through comprehensive examinations is crucial for managing these associated anomalies in infants.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Medical Imaging
Background:
- Anorectal malformation (ARM) is a complex congenital condition.
- Associated anomalies significantly impact patient outcomes and management strategies.
Purpose of the Study:
- To determine the prevalence of anomalies associated with anorectal malformation (ARM) in pediatric patients.
- To analyze the relationship between ARM type and the occurrence of associated anomalies.
Main Methods:
- A retrospective study of 140 pediatric patients diagnosed with ARM.
- Detailed physical, systemic, and radiological examinations were conducted to identify co-occurring anomalies.
- Prevalence rates were calculated for various anomaly types, including urinary, vertebral, skeletal, genital, cardiovascular, gastrointestinal, and spinal cord anomalies.
Main Results:
- Over half (58.57%) of ARM patients presented with associated anomalies.
- Associated anomalies were significantly more common in high-type ARM (78.08%) compared to low-type ARM (37.31%).
- Urinary system anomalies (37.14%) and vertebral system anomalies (34.28%) were the most prevalent.
Conclusions:
- Patients with ARM require thorough evaluations, including imaging like infanto-gram, echocardiography, and ultrasound of the urogenital system.
- Early detection of associated anomalies during the neonatal period is essential for timely intervention and improved patient care.