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[Rare anorectal malformations. Intermediate-type anal agenesis with a rectocutaneous fistula]
H M Ghandour1, M Spalletta, L Giacomello
1Dipartimento di Scienze Chirurgiche, Università degli Studi, Verona.
Abstract:
A case of anal agenesia with recto-cutaneous fistula is presented. The recto-cutaneous fistula in an intermediate or high anomaly seldom noticed so that it is not included in the common classifications. The surgical approach performed by us was that described by Mollard. The anterior perineal pull-through, under proximal protective enterostomy, allow to reduce the rate of postoperative complications and sequences and obtain--as in our patient--a normal continence and sphincteric function with an excellent esthetic outcome.
Insights
This case study presents anal agenesia with a recto-cutaneous fistula, a rare anomaly. Surgical correction using the Mollard technique achieved normal continence and excellent cosmetic results.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
Background:
- Anal agenesia is a congenital condition affecting the anus.
- Recto-cutaneous fistulas associated with intermediate or high anal anomalies are infrequently documented and often excluded from standard classifications.
Observation:
- A case of anal agenesia with a recto-cutaneous fistula was observed.
- This specific type of fistula is rarely recognized in intermediate or high anomalies.
Findings:
- The Mollard surgical technique, involving an anterior perineal pull-through with proximal protective enterostomy, was employed.
- This approach successfully reduced postoperative complications and led to normal continence and sphincteric function.
Implications:
- The Mollard technique offers a viable surgical solution for complex anal agenesia with recto-cutaneous fistulas.
- This method can yield excellent functional and aesthetic outcomes, including normal continence.