We describe two female neonates who suffered from four gastrointestinal anomalies, including duodenal stenosis or atresia, malrotation, segmental dilatation of the colon, and anorectal malformation. Each patient was managed by two or three operations, resulting in good bowel movements. Since this is the first report of four gastrointestinal anomalies, these cases may provide clues to elucidate the etiology of gastrointestinal tract developmental abnormalities.
"The association of duodenal obstruction is described in about 1% -2% of patients with Anorectal Malformations (ARMs) . The cases described in the literature are of duodenal atresia (complete duodenal obstruction) where anomalies are diagnosed much early in the life   . "
[Show abstract][Hide abstract] ABSTRACT: This report describes two unusual cases of anorectal malformation. The first had a type III congenital pouch colon with a colovesical fistula. In the other very similar case, segmental dilatation of the colon was present along with penoscrotal hypospadias and, distally, a length of normal colon ending in a rectourethral fistula. In both patients, the appendix was short, stubby and a Y-shaped duplication of the normal colon was present just proximal to the dilated segment of colon.
Journal of Indian Association of Pediatric Surgeons 04/2011; 16(2):61-3. DOI:10.4103/0971-9261.78133
[Show abstract][Hide abstract] ABSTRACT: We present a case of a neonate with VACTERL-like association, with the VACTERL association defined as the non-random association of vertebral, anal, cardiac, esophageal, renal/kidney, and limb defects, as manifested by a hemivertebra, imperforate anus, and digit anomalies, in rare association with duodenal atresia and right-sided diaphragmatic hernia. This constellation is previously undescribed and may offer insight into the pathogenesis of VACTERL and associated birth defects.
Journal of Pediatric Surgery 07/2011; 46(7):1432-4. DOI:10.1016/j.jpedsurg.2011.01.024 · 1.39 Impact Factor
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