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A child with imperforate anus for twelve years: a case report of neglect and exploitation

Amal N Vadysinghe, Deepthi Edussuriya, Medhani Wickramasinghe

    Archiwum Medycyny Sadowej I Kryminologii
    |January 25, 2018
    PubMed

    Insights

    A child with imperforate anus suffered severe neglect and exploitation, missing crucial surgeries and facing life-threatening complications. This case highlights critical failures in managing congenital defects in vulnerable populations.

    Area of Science:

    • Pediatric Surgery
    • Child Welfare
    • Medical Ethics

    Background:

    • Congenital defects like imperforate anus require timely surgical intervention.
    • Infants with complex medical needs are vulnerable to neglect, especially in disadvantaged families.

    Observation:

    • A 12-year-old presented with a prolapsed colostomy and acute abdomen, having missed a planned reversal surgery at one month.
    • The child exhibited signs of severe neglect, including lack of vaccination and education, and was exploited for financial gain.

    Findings:

    • Emergency surgery was performed for colostomy reversal and anal reconstruction.
    • The case revealed profound failures in healthcare system follow-up for children with congenital anomalies.

    Implications:

    • Highlights the need for robust systems to track and support children with congenital defects from low socio-economic backgrounds.
    • Underscores the critical intersection of healthcare access, child protection, and socio-economic factors.
    • Emphasizes the importance of multidisciplinary approaches in managing pediatric surgical cases with social complexities.

    Keywords:
    exploitationimperforate anusneglectchild abuse

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