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Anus perinei ventralis in adulthood – case report


Authors: M. Tesař 1,2;  P. Vávra 1,2;  V. Richter 1,2;  P. Ihnát 1,2
Authors‘ workplace: Chirurgická klinika Fakultní nemocnice Ostrava, Ostrava 1;  Katedra chirurgických oborů, Lekářská fakulta Ostravské univerzity, Ostrava 2
Published in: Rozhl. Chir., 2020, roč. 99, č. 12, s. 552-555.
Category: Case Report

Overview

Anorectal malformations present a type of the most serious congenital malformations, either in terms of treatment or treatment outcomes. Anorectal atresia can be subdivided into three categories: the supralevator form, the intermediate type of atresia and the low translevator type. One of the clinical forms of low translevator type in girls is a perineal fistula opening just behind the vaginal entrance on the perineum, with a fully developed sphincter complex dorsally from the fistula (so called anus perinei ventralis). The golden standard of surgical treatment of anus perinei ventralis in children is Peña’s procedure, which was used as a guideline for anorectal reconstruction in our adult patient, as well.

Keywords:

anorectal malformation – anus perinei ventralis – case report – Peña’s procedure


Sources
  1. Levitt MA, Peña A. Anorectal malformations. Fundamentals of pediatric surgery. New York, Springer 2011;499–512. doi:10.1007/978-1-4419-6643-8_64.
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  3. Škába R, Rousková B. Zadní sagitální anorektoplastika v léčení anorektálních malformací. Rozhl Chir. 1997;76(8):389–393.
  4. Peña A. Management of anorectal malformations during the newborn period. World J Surg. 1993;17(3):385–392. doi:10.1007/BF01658707.
  5. Bischoff A, Levitt MA, Peña A. Update on the management of anorectal malformations. Pediatr Surg Int. 2013;29(9):899–904. doi:10.1007/s00383-013-3355-z.
  6. deVries PA, Peña A. Posterior sagittal anorectoplasty. J Pediatr Surg. 1982;17(5):638–643. doi:10.1016/s0022-3468(82)80126-7.
  7. deBlaauw I. Treatment of adults with unrecognized or inadequately repaired anorectal malformations: 17 cases of rectovestibular and rectoperineal fistulas. J Pediatr Adolesc Gynecol. 2013;26(3):156–160. doi: 10.1016/j.jpag.2012.12.003.
Labels
Surgery Orthopaedics Trauma surgery
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