| Autor: |
Leditschke, J., Peña, Alberto |
| Zdroj: |
Pediatric Surgery International; Jan1991, Vol. 6 Issue 1, p52-55, 4p |
| Abstrakt: |
Persistent cloacal anomalies are usually recognised in newborn females. A 2-year-old presented with a cloacal lesion not previously documented. The precise diagnosis was delayed due to the fact that her external anatomy resembled a normal appearance. The urethro-vaginal and rectal canal opened through the anterior external anal sphincter complex. Chronic diarrhoea and genital excoriation ensued due to the mixing of the urine and faecal stream. The anatomy was defined by direct endoscopy, and radiological studies demonstrated a normal sacrum and bilateral renal tract anomalies. A preliminary diverting divided-limb sigmoid loop colostomy was followed by a posterior sagittal ano-rectoplasty with correction of the urethral, vaginal, and anorectal anomalies. The cosmetic appearance is very satisfactory. The urinary and faecal control in the child, whose unusual anomaly had been missed by many practitioners, both general and specialist, is very good. The renal anomalies now constitute the greatest threat to her longevity. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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