the standard approach to management of high imperforate anus is colostomy in the newborn period followed by posterior saggital anorectoplasty (psarp) at 6 to 12 months of age. the purpose of this study was to determine whether a one-stage repair by primary psarp in the newborn period could be performed without clear determent to the patient’s functional result. totally 30 newborns with high imp...

Maternal consumption of folic acid before pregnancy and during early pregnancy is associated with a reduced risk for some birth defects. Whether folic acid can reduce the risk for imperforate anus is unknown. As part of a public health campaign conducted in China from 1993 through 1995, the outcomes of pregnancies of > or =20 weeks' gestation were evaluated among women using folic acid suppleme...

Bombay Medical Service. I have read with interest the case of " imperforate anus" of a child four months old, published in the current issue of your journal by Surgeon-Major Ma the w, Civil Surgeon of Mozufferpore. It would seem that it is one of congenital malformation, that " this child is in capital condition, lively, and, as far as can be judged, in the enjoyment of perfect healththat " the...

Small cell carcinoma of the anus is a very rare but aggressive tumour. We present a case of a 60-year old lady with small cell carcinoma of the anus. She had no metastatic disease on presentation. She had chemotherapy and radiotherapy but developed distant metastasis after completion of treatment. Immunohistochemistry is required to make a diagnosis. Chemotherapy remains the mainstay of treatme...

Perineal ectopic anus in female infants is not a very uncommon congenital anorectal anomaly with opening into the low vaginal or vulvar region. However, ectopic anus with barrel gun perineum is a less common variety. Patients generally present with frequent history of constipation, but may seek medical help for just aesthetic reasons. We present here one such case of an asymptomatic seven years...

Aim: The overall aim of this thesis was to explore psychosocial consequences on children with high and intermediate imperforate anus and their parents. Material/Methods: Paper I was an explorative study involving interviews. The purpose was to illuminate the children’s and parents’ experiences of imperforate anus (IA) and to create a baseline for further research. In Papers II-V, study-specific...

Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by urethrostomy. Subcoronal hypospadias and urethrost...