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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Updated: May 13, 2026

Rectal Organoid Morphology Analysis (ROMA): A Diagnostic Assay in Cystic Fibrosis
07:56

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Published on: June 10, 2022

Anomalies associated with anorectal malformations.

R N Bălănescu1, L Topor, A Moga

  • 1Department of Pediatric Surgery, "Grigore Alexandrescu" Emergency Clinical Hospital for Children, Bucharest, Romania.

Chirurgia (Bucharest, Romania : 1990)
|March 8, 2013
PubMed
Summary

This study found that 68% of newborns with anorectal malformations (ARM) have associated congenital anomalies, most commonly gastrointestinal defects. These findings highlight the importance of comprehensive screening for comorbidities in ARM patients.

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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
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Published on: September 20, 2018

Area of Science:

  • Pediatric Surgery
  • Congenital Abnormalities
  • Neonatal Care

Background:

  • Anorectal malformations (ARM) are complex congenital conditions.
  • Associated anomalies are common in ARM patients, impacting management and outcomes.
  • Understanding the spectrum of these comorbidities is crucial for clinical practice.

Purpose of the Study:

  • To determine the incidence of congenital anomalies associated with anorectal malformations.
  • To compare these findings with existing published data.
  • To identify patterns of anomalies based on ARM type.

Main Methods:

  • Retrospective review of 50 patients with ARM (2005-2012).
  • Data collection included patient demographics, ARM type, and associated anomalies.
  • Associated anomalies were categorized by organ system.

Main Results:

  • 68% of 50 newborns with ARM had at least one associated anomaly.
  • Most frequent anomalies: gastrointestinal (36%), urogenital (24%), and cardiovascular (16%).
  • Imperforate anus without fistula was the most common ARM type (40%).

Conclusions:

  • Gastrointestinal anomalies are the most frequent comorbidities in ARM.
  • Higher incidence of GI anomalies in persistent cloacal anomaly.
  • Rectovestibular fistula associated with cardiac anomalies; perineal fistula with genitourinary anomalies.