Cargando…

Rare case report of anorectal malformation and intestinal atresia

INTRODUCTION: Intestinal malformations, such as intestinal atresia, malrotation, and anorectal malformation, are rare events, but concurrent intestinal atresia and anorectal malformation are rare in combination. These anomalies have similar in utero and perinatal symptoms, which can make the diagnos...

Descripción completa

Detalles Bibliográficos
Autores principales: Gunderson, Emily J., Sacks, Marla A., Goodman, Laura F., Hashmi, Asra, Radulescu, Andrei, Khan, Faraz A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114125/
https://www.ncbi.nlm.nih.gov/pubmed/33964718
http://dx.doi.org/10.1016/j.ijscr.2021.105945
_version_ 1783691000451956736
author Gunderson, Emily J.
Sacks, Marla A.
Goodman, Laura F.
Hashmi, Asra
Radulescu, Andrei
Khan, Faraz A.
author_facet Gunderson, Emily J.
Sacks, Marla A.
Goodman, Laura F.
Hashmi, Asra
Radulescu, Andrei
Khan, Faraz A.
author_sort Gunderson, Emily J.
collection PubMed
description INTRODUCTION: Intestinal malformations, such as intestinal atresia, malrotation, and anorectal malformation, are rare events, but concurrent intestinal atresia and anorectal malformation are rare in combination. These anomalies have similar in utero and perinatal symptoms, which can make the diagnosis of both defects prenatally challenging. PRESENTATION OF CASE: We present a case of a male infant with a prenatal diagnosis of truncus arteriosus who on a 32-week routine prenatal ultrasound was suspected to have an intestinal malformation. On day of life one, the patient was taken to the operating room and found to have both type IIIa ileal atresia and anorectal malformation with normal bowel in between. A complete work up for vertebral defects, anorectal malformation, cardiac septal defects, esophageal atresia, renal anomalies, and radial limb defects (VACTERL) anomalies did not reveal additional anomalies. DISCUSSION: In this case, prenatal information supported intestinal obstruction, and the rare combination of both intestinal atresia and anorectal malformation proved surprising and interesting. CONCLUSION: We suggest providers be aware of the potential of multiple alimentary tract malformations to improve operative preparation and reduce the morbidity or mortality risk from repeat procedures when possible.
format Online
Article
Text
id pubmed-8114125
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-81141252021-05-18 Rare case report of anorectal malformation and intestinal atresia Gunderson, Emily J. Sacks, Marla A. Goodman, Laura F. Hashmi, Asra Radulescu, Andrei Khan, Faraz A. Int J Surg Case Rep Case Report INTRODUCTION: Intestinal malformations, such as intestinal atresia, malrotation, and anorectal malformation, are rare events, but concurrent intestinal atresia and anorectal malformation are rare in combination. These anomalies have similar in utero and perinatal symptoms, which can make the diagnosis of both defects prenatally challenging. PRESENTATION OF CASE: We present a case of a male infant with a prenatal diagnosis of truncus arteriosus who on a 32-week routine prenatal ultrasound was suspected to have an intestinal malformation. On day of life one, the patient was taken to the operating room and found to have both type IIIa ileal atresia and anorectal malformation with normal bowel in between. A complete work up for vertebral defects, anorectal malformation, cardiac septal defects, esophageal atresia, renal anomalies, and radial limb defects (VACTERL) anomalies did not reveal additional anomalies. DISCUSSION: In this case, prenatal information supported intestinal obstruction, and the rare combination of both intestinal atresia and anorectal malformation proved surprising and interesting. CONCLUSION: We suggest providers be aware of the potential of multiple alimentary tract malformations to improve operative preparation and reduce the morbidity or mortality risk from repeat procedures when possible. Elsevier 2021-04-30 /pmc/articles/PMC8114125/ /pubmed/33964718 http://dx.doi.org/10.1016/j.ijscr.2021.105945 Text en © 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Gunderson, Emily J.
Sacks, Marla A.
Goodman, Laura F.
Hashmi, Asra
Radulescu, Andrei
Khan, Faraz A.
Rare case report of anorectal malformation and intestinal atresia
title Rare case report of anorectal malformation and intestinal atresia
title_full Rare case report of anorectal malformation and intestinal atresia
title_fullStr Rare case report of anorectal malformation and intestinal atresia
title_full_unstemmed Rare case report of anorectal malformation and intestinal atresia
title_short Rare case report of anorectal malformation and intestinal atresia
title_sort rare case report of anorectal malformation and intestinal atresia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114125/
https://www.ncbi.nlm.nih.gov/pubmed/33964718
http://dx.doi.org/10.1016/j.ijscr.2021.105945
work_keys_str_mv AT gundersonemilyj rarecasereportofanorectalmalformationandintestinalatresia
AT sacksmarlaa rarecasereportofanorectalmalformationandintestinalatresia
AT goodmanlauraf rarecasereportofanorectalmalformationandintestinalatresia
AT hashmiasra rarecasereportofanorectalmalformationandintestinalatresia
AT radulescuandrei rarecasereportofanorectalmalformationandintestinalatresia
AT khanfaraza rarecasereportofanorectalmalformationandintestinalatresia