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15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report
Felix Oyania1,2, Meera Kotagal3, Martin Situma4
1Department of Surgery, Pediatric Surgical Unit, Mbarara University of Science and Technology, Mbarara, Uganda. oyafel@icloud.com.
Background:
Teenage and late presentation of anorectal malformations are not uncommon in developing world. Some of the reasons for late presentation include but not limited to illiteracy, poverty, lack of awareness, and limited trained pediatric surgeons. In rural areas, neonates with ARMs are considered cursed and are marginalized.
Case:
15-Year-old African girl (a munyankole by tribe in Uganda) from western Uganda presented at 15 years of life with colostomy and uncorrected anorectal malformation. Never went to school due to social stigma.
Conclusion:
Due to limited number of trained pediatric surgeons in most of African Countries, many children in addition to living with a colostomy or untreated malformation, may also be undiagnosed with chronic constipation. Improved awareness and advocacy would promote early presentation and treatment.
