Anorectal anomalies
| Anorectal anomalies | |
|---|---|
| Synonyms | Anorectal malformations, imperforate anus |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Constipation, fecal incontinence, abdominal distension |
| Complications | Urinary tract infections, bowel obstruction, fecal incontinence |
| Onset | Congenital |
| Duration | Chronic |
| Types | N/A |
| Causes | Genetic factors, environmental factors |
| Risks | Family history, genetic syndromes |
| Diagnosis | Physical examination, imaging studies |
| Differential diagnosis | Hirschsprung's disease, spinal cord anomalies |
| Prevention | None |
| Treatment | Surgical intervention, bowel management programs |
| Medication | N/A |
| Prognosis | Varies depending on severity and associated anomalies |
| Frequency | 1 in 5,000 live births |
| Deaths | N/A |
Anorectal anomalies are a group of birth defects that affect an individual's anus and rectum. They occur in approximately 1 in 5000 births, with a slightly higher incidence in males. The exact cause of these anomalies is unknown, but they are thought to occur during the fifth to seventh weeks of gestation.
Types of Anorectal Anomalies
There are several types of anorectal anomalies, including:
- Anorectal malformation - This is a broad term used to describe a variety of conditions where the anus or rectum do not develop properly.
- Imperforate anus - This is a condition where the opening to the anus is missing or blocked.
- Rectal atresia - This is a condition where the rectum does not connect to the anus.
- Recto-urethral fistula - This is a condition where there is an abnormal connection between the rectum and the urethra.
Symptoms
The symptoms of anorectal anomalies can vary greatly depending on the specific type of anomaly. However, common symptoms can include:
- Absence of a normal anal opening
- Presence of an anal opening in an abnormal location
- Abdominal swelling
- Constipation
- Inability to pass stool
Diagnosis
Diagnosis of anorectal anomalies typically involves a physical examination and imaging tests such as an ultrasound, MRI, or X-ray. In some cases, a colonoscopy may also be performed.
Treatment
Treatment for anorectal anomalies typically involves surgery to correct the anomaly. The specific type of surgery will depend on the type of anomaly and the individual's overall health. In some cases, additional treatments such as colostomy or bowel management program may also be necessary.
Prognosis
The prognosis for individuals with anorectal anomalies can vary greatly depending on the specific type of anomaly and the individual's overall health. However, with proper treatment, most individuals can lead normal, healthy lives.
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Contributors: Prab R. Tumpati, MD