Acta Scientific Clinical Case Reports

Case ReportVolume 3 Issue 5

Colon Reduction in a Child with Anorectal Malformation with Rectourethral Fistula After Abdominal-perineal Proctoplasty and Coloesophagoplasty of the Left Half of the Colon (Clinical Observation)

Evgeniy A Okulov1, Aleksey V Dotsenko1, Igor N Khvorostov1, Elena Yu Dyakonova1,2, Aleksey A Gusev1,2* and Sergey P Yatsyk1

1National Medical Research Center for Children's Health, Russia, Moscow, Russia
2RUDN University (Peoples' Friendship University of Russia), Moscow, Russia

*Corresponding Author: Aleksey A Gusev, National Medical Research Center for Children's Health, Russia, Moscow, Russia.

Received: March 11, 2022; Published: April 08, 2022

Abstract

A clinical case of a 10-year-old boy with esophageal atresia with lower tracheoesophageal fistula (Type A) and anorectal malformations (rectourethral fistula) operated on in the neonatal period is presented.

Bougienage was not performed in the postoperative period, which led to anal stenosis and megarectum with a significant expansion of the left colon

The child had an ileostomy. extirpation of the dilated intestine and abdominoperineal anorectoplasty were performed after 6 months.

Long-term results of surgical treatment of a rare complication are presented in the article.

Keywords: Anorectal Malformations (ARMs); Rectourethral Fistula; Child

Bibliography

  1. Fernandez E., et al. “Esophageal atresia in patients with anorectal malformations”. Pediatric Surgery International 8 (2014): 767-771.
  2. Ludwig K., et al. “Congenital anomalies of the tubular gastrointestinal tract”. Pathologica 114 (2022): 40-54.
  3. Hamza AF. “Colonic replacement in cases of esophageal atresia”. Seminars in Pediatric Surgery 1 (2009): 40-43.
  4. Arnold M., et al. “Oesophageal atresia without tracheo-oesophageal fistula and an anorectal malformation: advantages of a primary laparoscopically assisted anorectal pull-through”. South African Journal of Surgery 1 (2011): 30-32.
  5. Panda SS., et al. “Esophageal atresia, duodenal atresia, and imperforate anus: Triple atresia”. Journal of Clinical Neonatology 4 (2015): 188-192.
  6. Byun SY., et al. “Anorectal malformations associated with esophageal atresia in neonates”. Pediatric Gastroenterology, Hepatology and Nutrition 1 (2013): 28-33.
  7. Iozsa Dan Alexandru., et al. “Esophageal atresia associating gastrointestinal malformations: a study of clinical approach". Journal of Mind and Medical Sciences2 (2021).

Citation: Aleksey A Gusev., et al. “Colon Reduction in a Child with Anorectal Malformation with Rectourethral Fistula After Abdominal-perineal Proctoplasty and Coloesophagoplasty of the Left Half of the Colon (Clinical Observation)". Acta Scientific Clinical Case Reports 3.5 (2022): 18-21.

Copyright: © 2022 Aleksey A Gusev., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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