Müllerian agenesis in the presence of anorectal malformations in female newborns: a diagnostic challenge
Singapore medical journal
; : e82-4, 2015.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-337146
Responsible library:
WPRO
ABSTRACT
Rectovestibular fistula is the most common type of anomaly found in a female newborn with anorectal malformation. However, when the baby is found to have two orifices in the introitus, rectovaginal fistula is much less common and suspected. The rare differential diagnosis of Müllerian agenesis, a condition in which the rectum shifts anteriorly and the vagina is absent, is seldom considered. In many cases, the diagnosis of Müllerian agenesis is made only during definitive anorectoplasty. In view of its impact on management, a proper examination under anaesthesia, imaging studies and a diagnostic laparoscopy may be required to confirm the presence or absence of Müllerian structures in such patients. We herein describe a patient with the rare coexistence of VACTERL association and Müllerian agenesis, and discuss the management of anorectal malformations in female patients with Müllerian agenesis.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Anal Canal
/
Anus, Imperforate
/
Rectum
/
Spine
/
General Surgery
/
Congenital Abnormalities
/
Trachea
/
Vagina
/
Abnormalities, Multiple
/
Rectal Fistula
Type of study:
Diagnostic study
Limits:
Child
/
Female
/
Humans
/
Infant, Newborn
Language:
English
Journal:
Singapore medical journal
Year:
2015
Document type:
Article