Rectal duplications accompanying rectovestibular fistula: report of two cases.

Pampal A., Ozbayoglu A., KAYA C., Pehlivan Y., POYRAZ A., Ozen I. O., ...Daha Fazla

Pediatrics international : official journal of the Japan Pediatric Society, cilt.55, sa.4, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 55 Sayı: 4
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1111/ped.12086
  • Dergi Adı: Pediatrics international : official journal of the Japan Pediatric Society
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: anorectal malformation, caudal duplication anomaly, caudal regression syndrome, rectal duplication, MALFORMATIONS, ASSOCIATION, ANOMALIES
  • Gazi Üniversitesi Adresli: Evet

Özet

Rectal duplication (RD) cysts are rare congenital anomalies that can be diagnosed with the presence of another opening in the perineum. They seldom accompany anorectal malformations (ARM). Two cases of RD accompanying ARM at opposite ends of the phenotypic spectrum, are described. A 3-month-old baby and a 2-year-old girl with ARM were scheduled for posterior sagittal anorectoplasty. The infant had an orifice at the anal dimple and the other had an orifice at the vestibulum posterior to the rectovestibular fistula. The infant presented with no other anomalies whereas the older one presented with an unusual coexistence of caudal duplication and caudal regression syndromes. Perioperatively both orifices were found to be related to retrorectal cysts, and were excised. Clinicians should always be alert when dealing with complex malformations. Because these malformations have variable anatomical and clinical presentations, they can represent a diagnostic and therapeutic challenge.