Management of Anorectal Malformation:

Experience from Ethiopia

Maru Gama1, Amezene Tadesse2

  1. Saint Paul Millennium Medical College

  2. School of Medicine, Addis Ababa University

Correspondence to: Dr.Amezene Tadesse, P.O Box 9086, Black Lion Hospital, Addis Ababa, Ethiopia.

Email: amezenet@yahoo.com

Abstract

Background: Anorectal malformations are among the most common congenital malformation seen in children. There is paucity of data regarding the incidence and treatment outcome of this disease from Ethiopia. Methods: This is a retrospective review of patients treated for ARM at the TASH from March 2010-February 2014. Relevant statistical analysis was done and the results presented in tables and graphs. Results: Six patients (6%) presented at early neonatal age (before the age of 4 days) and 14 (14%) presented between 4 days and one month. A total of 57 associated congenital malformations were diagnosed in 44/99(44%) patients. The two most common type of ARM diagnosed among the female patients were recto-vestibular fistula which occurred in 39/56 (70%) and perineal fistula accounting for 6/56 (11%). ARM with urethral fistula was the commonest diagnosis among the male patients, making up 10/43 (23%). Post-operative outcome showed that 64 (64%) had a very good functional outcome. Conclusions: The diagnosis of anorectal malformation is late. Nearly half of the patients were found to have associated malformations

 

Keywords: Anorectal malformation, Associated malformations, Postero-sagittal anorectoplasty

Ann Afr Surg. 2018; 15(1):25-28 DOI:http://dx.doi.org/10.4314/aas.v15i1.6

© 2018 Author. This work is licensed under the Creative Commons Attribution 4.0 International License

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