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Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report

Anorectal necrosis is an uncommon lethal disease in children, characterized by necrosis of the mucosa of the anus and rectum. The difference between anorectal necrosis and Fournier’s gangrene is that anorectal necrosis does not affect the genital organs. The treatment for anorectal necrosis includes...

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Autores principales: Chen, Yea-Ling, Su, Yu-Tsun, Yeh, Ming-Lun, Yang, Yung-Ning, Tsai, Ching-Chung, Ko, Po-Jui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024732/
https://www.ncbi.nlm.nih.gov/pubmed/35455498
http://dx.doi.org/10.3390/children9040454
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author Chen, Yea-Ling
Su, Yu-Tsun
Yeh, Ming-Lun
Yang, Yung-Ning
Tsai, Ching-Chung
Ko, Po-Jui
author_facet Chen, Yea-Ling
Su, Yu-Tsun
Yeh, Ming-Lun
Yang, Yung-Ning
Tsai, Ching-Chung
Ko, Po-Jui
author_sort Chen, Yea-Ling
collection PubMed
description Anorectal necrosis is an uncommon lethal disease in children, characterized by necrosis of the mucosa of the anus and rectum. The difference between anorectal necrosis and Fournier’s gangrene is that anorectal necrosis does not affect the genital organs. The treatment for anorectal necrosis includes debridement of the anus, colostomy, and the use of broad-spectrum antibiotics. However, anorectal necrosis may lead to anal stricture, anal malfunction, or even acquired atresia of the anus. There is no consensus on the treatment for acquired imperforate anus. Herein, we report a case of a four-month-old boy with acquired imperforate anus complicated by anorectal necrosis. We describe our experience performing posterior sagittal anorectoplasty to reconstruct a neo-anus in such a rare case.
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spelling pubmed-90247322022-04-23 Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report Chen, Yea-Ling Su, Yu-Tsun Yeh, Ming-Lun Yang, Yung-Ning Tsai, Ching-Chung Ko, Po-Jui Children (Basel) Case Report Anorectal necrosis is an uncommon lethal disease in children, characterized by necrosis of the mucosa of the anus and rectum. The difference between anorectal necrosis and Fournier’s gangrene is that anorectal necrosis does not affect the genital organs. The treatment for anorectal necrosis includes debridement of the anus, colostomy, and the use of broad-spectrum antibiotics. However, anorectal necrosis may lead to anal stricture, anal malfunction, or even acquired atresia of the anus. There is no consensus on the treatment for acquired imperforate anus. Herein, we report a case of a four-month-old boy with acquired imperforate anus complicated by anorectal necrosis. We describe our experience performing posterior sagittal anorectoplasty to reconstruct a neo-anus in such a rare case. MDPI 2022-03-23 /pmc/articles/PMC9024732/ /pubmed/35455498 http://dx.doi.org/10.3390/children9040454 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Chen, Yea-Ling
Su, Yu-Tsun
Yeh, Ming-Lun
Yang, Yung-Ning
Tsai, Ching-Chung
Ko, Po-Jui
Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title_full Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title_fullStr Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title_full_unstemmed Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title_short Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report
title_sort posterior sagittal anorectoplasty for acquired imperforate anus complicated by anorectal necrosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024732/
https://www.ncbi.nlm.nih.gov/pubmed/35455498
http://dx.doi.org/10.3390/children9040454
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