1Assistant Professor
2Associate Professor, Department of Surgery, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
3Professor, Department of Surgery, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India
*Corresponding author: Dr Mohd Mojeeb Ahsan Department of Surgery, Muzaff arnagar Medical College, Muzaff arnagar. U.P. 251203. INDIA Mobile: 9897884620, Email: mojeeb.ahsan@gmail.com
Online published on 18 February, 2016.
The aim of this study was to compare the incidences of various associated anomalies among subjects with high and low anorectal malformation (ARM), study the coexistence of these anomalies, and compare their frequency with those quoted in the existing literature.
All patients presenting with various types of anorectal malformations in our set up, from April 2008 to September 2010, were included in the study. Apart from routine investigations, invertogram, chest X-rays, ultrasound abdomen, distal cologram, voiding cystourethrogram, ultrasound spine/MRI and echocardiogram were done in relevant cases.
Genitourinary system involvement was present in 36.67% of patients (22/60). Spinal anomalies were present in 21 (35%) out of 60 patients. Gastrointestinal anomalies along with anorectal malformations were present in 3 patients out of 60 patients (5%). Cardiovascular anomalies were found in 3 cases out of 60 patients (5%).
The incidences of most associated anomalies in our study were comparable with those of the earlier studies. Detailed examination of the patient at the time of admission should be done to assess type of anorectal malformation and apparent associated anomalies. Proper evaluation and management of these associated anomalies along with the management of anorectal malformation is crucial in achieving the goal of providing the patient a good quality of life.
Anorectal Malformations, Spinal myelopathy, Invertogram, CT scan, MRI
