Sigmoid Colon Perforation in Neonate Having Low Anorectal Malformation with Anocutaneous Fistula- A Rare Presentation
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 2
Abstract
Occurrence of bowel perforation in newborn with low Anorectal Malformation (ARM) is very rare, as thorough clinical examination of perineum in newborn is usually sufficient to make diagnosis of anorectal malformations. However, in 21-32% cases of ARM, there can be delay in diagnosis resulting in inadequate treatment. This diagnostic and therapeutic delay may lead to bowel perforation. We report a case of 2.6 Kg male neonate with low ARM who had presented to us with pneumoperitoneum. On exploratory laparotomy, a sigmoid colon perforation was found which was repaired with proximal diverging colostomy. Anoplasty was also done at the same time. Background As we know, sigmoid colon perforation in low anorectal malformation is a very rare ocurrence and with anocutaneous fistula it’s even rarer. Therefore reporting of this case is very important. Timely diagnosis, early referral to tertiary care centre, prompt and precise intervention are the key to successful management.
Authors and Affiliations
Kanoujia Sunil
Keywords
Related Articles
- EP ID EP493279
- DOI -
- Views 120
- Downloads 0
Ketamine: As an Adjuvant to Supra Clavicular Brachial Plexus Block
Regional anesthesia provides a safe anesthesia for upper extremity surgery. Supraclavicular brachial plexus block is one of the most effective anesthetic procedures for the upper extremity procedures. Ketamine has been...
Neonatal Intestinal Obstruction – Our Institutional Experience
Aim : The aim of this study were to evaluate the cases of neonatal intestinal obstruction. Objectives : To find out the cause, age of presentation, gender distribution, operative findings and their surgical management o...
Arthroscopic Sub-acromial Decompression in Impingement Syndrome of Shoulder – A Clinical Study
The shoulder is the most versatile joint in the body having a wide functional range of motion, including arm elevation to 180°, rotation to 150° and horizontal (sagittal) plane rotation of 1701, 2. By combining the coord...
A Study of Glycosylated Haemoglobin (HbA1C) in Acute Coronary Syndrome.
Introduction The World Health Organization (WHO) defines Diabetes Mellitus (DM) as: “a metabolic disorder of multiple aetiology characterized by chronichyperglycaemiawithdisturbancesofcarbohydrate,fatandprotein metabolis...
Polymerase Chain Reaction and Its Applications in Dentistry
A variety of molecular biology methods have become obtainable in the previous years and one of the most innovative of these techniques regarding nucleic acid analysis is the polymerase chain reaction (PCR), which was fir...