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Anterior ectopic anus: a common cause of constipation in children

L L Leape, M L Ramenofsky

    Journal of Pediatric Surgery
    |December 1, 1978
    PubMed

    Insights

    Anterior ectopic anus, a condition causing infant constipation, is effectively treated with posterior anoplasty and sphincterotomy. This surgical approach offers a curative solution for affected infants, predominantly females.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Anorectal Malformations

    Background:

    • Anterior ectopic anus is an increasingly recognized cause of severe constipation in infants.
    • This condition is characterized by congenital displacement of the anus anteriorly, often presenting with a constellation of symptoms including early-onset constipation and straining.
    • It predominantly affects female infants.

    Purpose of the Study:

    • To report surgical treatment experience in patients with anterior ectopic anus.
    • To evaluate the efficacy of posterior anoplasty with sphincterotomy for this condition.

    Main Methods:

    • Surgical treatment involving posterior anoplasty and sphincterotomy was performed on 20 patients.
    • Patient outcomes were assessed based on the resolution of constipation and defecation-related symptoms.

    Main Results:

    • Surgical treatment of 20 patients with anterior ectopic anus demonstrated positive outcomes.
    • Posterior anoplasty with sphincterotomy proved to be a curative procedure for the reported cases.

    Conclusions:

    • Anterior ectopic anus is a distinct clinical entity causing significant constipation in infancy.
    • Posterior anoplasty with sphincterotomy is an effective and curative surgical intervention for anterior ectopic anus.

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