Associated anomalies with anorectal malformation (ARM) |
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Authors: | Amit?Mittal Raj?Kumar?Airon Email author" target="_blank">Sarita?MaguEmail author Kamal?Nain?Rattan Simmi?K?Ratan |
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Institution: | (1) Department of pediatric Surgery, Pt. B.D. Sharma PGIMS, Rohtak, India;(2) Department of Radiodiagnosis, Pt. B.D. Sharma PGIMS, Rohtak, India;(3) 22/8FM, Medical Enclave, Rohtak, 124001 Haryana |
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Abstract: | Objective : To find the prevalence of associated anomalies in children with anorectal malformation (ARM).Methods: One hundred and forty patients (80 males and 60 females) with expand were studied to detect associated anomalies and to
find their prevalence. High and low type of ARM was seen in 52.14% and 47.86% of patients respectively. Associated anomalies
were more common with high type of ARM (78.08%) than in patients with low type of ARM (37.31%). 58.57% patients had associated
anomalies which included those of urinary system (37.14%), vertebral system (34.28%), skeletal system other than vertebral
(15.17%), genital system (14.29%), cardiovascular system (12.14%), gastrointestinal tract (10.7%) and spinal cord (10%).Results : 37.43% patients had 3 or more than 3 components of VACTERL association. Two patients had all six components of VACTERL.
Most common association was vertebral, anal and renal anomalies seen in 16 patients.Conclusion : Patients with ARM should undergo a detailed general physical, systemic and radiological examination (infantogram, echocardiography,
US of urogenital system) in neonatal period to detect associated anomalies in early period |
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Keywords: | Anorectal malformations Associated anomalies |
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