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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2004  |  Volume : 9  |  Issue : 2  |  Page : 110-113

Anal agenesis with rectal Atresia, hemifacial microsomia, ocular anomalies and brain dysfunction


Department of Pediatric Surgery, SAT Hospital, Medical College, Thiruvananthapuram-695511

Correspondence Address:
R Rajendran
Department of Pediatric Surgery, SAT Hospital, Medical College, Thiruvananthapuram-695511

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ABSTRACT: The association of anomalies of face, eyes and brain with anorectal malformation is not well-known as also a combination of two types of anorectal malformations. A male newborn presented with hypoplasia of left side of face, with a normal ear. He had no anal orifice. He underwent colostomy followed by perineal rectoplasty (Durham Smith's modification of PSARP). He was found to have anal agenesis (intermediate anorectal malformation) in addition to a rectal atresia Type I (high anorectal malformation). He had severe anomalies of both eyes, and bilateral renal anomalies. He is now 7 years old and has not developed speech, has defective vision, is unable to walk without support, is hyperactive, and is constipated. Literature on the association of double anorectal malformations and of hemifacial microsomia and anorectal malformation is reviewed.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05