Anorectal Malformations: The Pivotal Role of the Good Clinical Practice
Anorectal malformations (ARM) without a fistula are a rare congenital condition. Although may seem more simple to repair compared with ARM with fistulas, surgery has proved to be challenging. We report the case of a newborn who presented a well-formed anus and normal genitalia; a blind-ending anal c...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2023/3669723 |
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| _version_ | 1832546829752860672 |
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| author | Filomena Valentina Paradiso Sara Silvaroli Riccardo Rizzo Lorenzo Nanni |
| author_facet | Filomena Valentina Paradiso Sara Silvaroli Riccardo Rizzo Lorenzo Nanni |
| author_sort | Filomena Valentina Paradiso |
| collection | DOAJ |
| description | Anorectal malformations (ARM) without a fistula are a rare congenital condition. Although may seem more simple to repair compared with ARM with fistulas, surgery has proved to be challenging. We report the case of a newborn who presented a well-formed anus and normal genitalia; a blind-ending anal canal was detected after the insertion of a rectal probe, thus allowing the diagnosis of ARM. Anal probing straight after birth avoids the possible complications related to intestinal obstruction due to a missed diagnosis of ARM. Examination of the perineal region is an important step in the evaluation of the newborn and represents the tool for a prompt identification of ARM. Adding anal probing to accurate inspection perineum is a good clinical practice and should always be performed even in presence of a normal-looking perineum. |
| format | Article |
| id | doaj-art-afc0c6c95a344a7790e51e4ef8f4b999 |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-afc0c6c95a344a7790e51e4ef8f4b9992025-02-03T06:47:14ZengWileyCase Reports in Pediatrics2090-68112023-01-01202310.1155/2023/3669723Anorectal Malformations: The Pivotal Role of the Good Clinical PracticeFilomena Valentina Paradiso0Sara Silvaroli1Riccardo Rizzo2Lorenzo Nanni3Division of Pediatric SurgeryDivision of Pediatric SurgeryDivision of Pediatric SurgeryDivision of Pediatric SurgeryAnorectal malformations (ARM) without a fistula are a rare congenital condition. Although may seem more simple to repair compared with ARM with fistulas, surgery has proved to be challenging. We report the case of a newborn who presented a well-formed anus and normal genitalia; a blind-ending anal canal was detected after the insertion of a rectal probe, thus allowing the diagnosis of ARM. Anal probing straight after birth avoids the possible complications related to intestinal obstruction due to a missed diagnosis of ARM. Examination of the perineal region is an important step in the evaluation of the newborn and represents the tool for a prompt identification of ARM. Adding anal probing to accurate inspection perineum is a good clinical practice and should always be performed even in presence of a normal-looking perineum.http://dx.doi.org/10.1155/2023/3669723 |
| spellingShingle | Filomena Valentina Paradiso Sara Silvaroli Riccardo Rizzo Lorenzo Nanni Anorectal Malformations: The Pivotal Role of the Good Clinical Practice Case Reports in Pediatrics |
| title | Anorectal Malformations: The Pivotal Role of the Good Clinical Practice |
| title_full | Anorectal Malformations: The Pivotal Role of the Good Clinical Practice |
| title_fullStr | Anorectal Malformations: The Pivotal Role of the Good Clinical Practice |
| title_full_unstemmed | Anorectal Malformations: The Pivotal Role of the Good Clinical Practice |
| title_short | Anorectal Malformations: The Pivotal Role of the Good Clinical Practice |
| title_sort | anorectal malformations the pivotal role of the good clinical practice |
| url | http://dx.doi.org/10.1155/2023/3669723 |
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