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Delayed presentation of anorectal malformations: the possible associated morbidity and mortality

Almoutaz A Eltayeb1

  • 1Assiut University, Assiut, Egypt. almoutazeltayeb@hotmail.com

Pediatric Surgery International
|July 6, 2010
PubMed

Insights

Delayed presentation of anorectal malformations (ARMs) is a significant issue in pediatric surgery. Early detection and screening of neonates are crucial to prevent associated morbidity and mortality from ARMs.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Neonatal Care

Background:

  • Anorectal malformations (ARMs) are common congenital anomalies with an incidence of approximately 1 in 5,000 live births.
  • While most ARMs present neonatally, a notable number are diagnosed later in infancy or childhood, potentially complicating management.

Purpose of the Study:

  • To determine the frequency of delayed presentation of ARMs.
  • To identify the causes contributing to delayed diagnosis and treatment.
  • To evaluate the impact of delayed presentation on patient morbidity and mortality.

Main Methods:

  • A 3-year retrospective study of 104 ARM cases at Assiut University Children's Hospital.
  • Delayed presentation defined as presentation after 48 hours of birth or after 3 months for low ARM in females.
  • Analysis of patient demographics, ARM type, causes of delay, and associated complications.

Main Results:

  • 20 out of 104 cases (19.2%) presented late, with ages ranging from 4 days to 14 years.
  • Common causes included delayed detection, incorrect advice, inadequate treatment, and social factors.
  • Associated morbidities included chronic constipation and mega rectum; two male infants died due to delayed presentation.

Conclusions:

  • Delayed presentation of ARMs is a significant clinical problem.
  • Thorough neonatal examination and screening are essential to identify ARMs early.
  • Timely diagnosis and intervention are critical to mitigate severe outcomes associated with delayed ARM presentation.
Abstract

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