Rectal Atresia an uncommon entity: Experience of three cases
Keywords:Rectal Atresia, Anorectal Malformation, Neonate
Background: Rectal atresia (RA) is a unique and rare congenital malformation contributing to about 1% of anorectal malformations. It may be associated with an abnormal sacrum and a presacral mass. The sphincter mechanism in these cases is well developed. Different surgical procedures have been described for correction of this anomaly, with variable outcomes.
Case Presentation: We present three cases of rectal atresia with their management. All the patients presented in early neonatal life with failure to pass meconium. All the patients underwent colostomy in neonatal life as initial management. Definitive surgery was performed later in all patients. All the patients are doing fine on follow-up with good continence.
Conclusion: The Posterior Sagittal Approach with the division of septum/tissue between the rectum and anal canal and end-end anastomosis gives excellent results.
Stenström P, Clementson KC, Arnbjörnsson E. Rectal atresia—operative management with endoscopy and transanal approach: a case report. Minim Invasive Surg. 2011; 2011.
Pena A. Anorectal malformations. Semin Pediatr Surg. 1995; 4:35–47.
Pakarinen MP, Baillie B, Koivusalo A, Rintala RJ. Transanal endoscopic-assisted proctoplasty—a novel surgical approach for individual management of patients with imperforate anus without fistula. J Pediatr Surg. 2006; 41:314–7.
Magnus RV. Rectal atresia as distinguished from rectal agenesis. J Pediatr Surg. 1968; 3:593-8.
Upadhyaya P. Rectal atresia; transanal, end to end, recto rectal anastomosis; a simplified, rational approach to management. J Pediatr Surg. 1990; 25: 535-7.
Dorairajan T. Anorectal atresia. Birth Defects. 1988; 24:105–10.
Kisra M, Alkadi H, Zerhouni H, Ettayebi F, Benhammou M. Rectal atresia. J Paediatr Child Health. 2005; 41:691-3.
Hamrick M, Eradi B, Bischoff A, Louden E, Pena A, Levit MA. Rectal atresia and stenosis; Unique anorectal malformation. J Pediatr Surg. 2012; 47:1280-4.
Bischoff A, Martinez-Leo B, Peña A. Laparoscopic approach in the management of anorectal malformations. Pediatr Surg Int. 2015; 31:431-7.
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