Nonfluoroscopic pressure colostography in the evaluation of genitourinary fistula of anorectal malformations: experience in a resource-poor environment
| Autor: | Lukman O. Abdur-Rahman, Adekunle Y Abdulkadir, Olusola A.M. Adesiyun |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Urinary Fistula medicine.medical_treatment Anal Canal Contrast Media Genitalia Male Rectourethral fistula Resource Allocation Pressure Humans Medicine Radiology Nuclear Medicine and imaging Neuroradiology business.industry Genitourinary system Infant Newborn Rectum Colostomy Infant Anal canal Image Enhancement medicine.disease Surgery Radiography Genitourinary Fistula medicine.anatomical_structure Urogenital Abnormalities Pediatrics Perinatology and Child Health business Imperforate anus |
| Zdroj: | Pediatric Radiology. 39:132-136 |
| ISSN: | 1432-1998 0301-0449 |
| Popis: | Radiological imaging is paramount for defining the genitourinary fistulae commonly associated with anorectal malformations prior to definitive surgery. The imaging options are resource-limited in many parts of the world. Nonfluoroscopic pressure colostography after colostomy is a cheap method for the evaluation of anorectal malformations. To describe our experience with nonfluoroscopic pressure colostography in the evaluation of anorectal malformations in boys. The study included 12 boys with anorectal malformation who had colostomy and nonfluoroscopic pressure-augmented colostography with water-soluble contrast medium between January 2006 and December 2007. Patient ages ranged from 2 days to 1 year. The types of genitourinary fistula were rectovesical (7.7%) and rectourethral (92.3%). Oblique radiographs were of diagnostic value in all patients. The types of anorectal malformations were high, intermediate and low in 75%, 8.3% and 16.7%, respectively. Short-segment urethral constriction was a common feature of rectourethral fistula (75%, n=9). Our experience has shown that genitourinary fistulae associated with anorectal malformations can be demonstrated reliably by nonfluoroscopic pressure colostography with two oblique radiographs, providing an option in resource-poor settings where fluoroscopic equipment is scarce. |
| Databáze: | OpenAIRE |
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