Access to essential paediatric surgery in the developing world: A case of imperforate anus with rectovaginal and rectocutaneous fistulas left untreated

Marilyn L. Vinluan, Remigio M. Olveda, Clive K. Ortanez, Modesto Abellera, David U. Olveda, Delia C. Chy, Allen G. Ross

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    5 Citations (Scopus)

    Abstract

    Anorectal malformations consist of a wide spectrum of conditions which can affect both sexes and involve the distal anus and rectum as well as the urinary and genital tracts. Patients have the best chance of a good functional outcome if the condition is diagnosed early and efficient anatomic repair is promptly instituted. This report describes a rare case of imperforate anus associated with both rectovaginal and rectocutaneous fistulas in a 6-year-old Filipino girl. The case highlights shortcomings in the healthcare delivery system combined with socio-economic factors that contributed to the delay in both diagnosis and the institution of adequate treatment. Care and preventive measures that can be implemented in low-resource settings to reduce the impact of birth defects are also discussed.

    Original languageEnglish
    Article number210084
    JournalBMJ Case Reports
    Volume2015
    DOIs
    Publication statusPublished - 21 Oct 2015

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