Access to essential paediatric surgery in the developing world: a case of imperforate anus with rectovaginal and rectocutaneous fistulas left untreated. (21st October 2015)

• Record Type: Journal Article
• Authors: Vinluan, Marilyn L; Olveda, Remigio M; Ortanez, Clive K; Abellera, Modesto; Olveda, David U; Chy, Delia C; Ross, Allen G
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-10-21
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-210084
• Languages: English
• ISSNs: 1757-790X

Abstract

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.