Is the perianal fistula a variation of anal duplication? Case reports and review
Anorectal malformations are birth defects which include a wide range of diseases. With this defect, the anus and rectum don't develop properly. They can involve both genders. The involved organs in such malformations are anus, rectum, urinary and genital systems. The defects vary from very easy...
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doaj-3055148cb1f44521885dbb03058765772020-11-25T02:56:05ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-02-0153Is the perianal fistula a variation of anal duplication? Case reports and reviewMohammad mahdi khazravi0Ahmad Mohammadipour1Reza Nazarzadeh2saeedeh majidi3Shiva Ghaderifar4Mehdi Fathi5Marjan Joodi6Fellowship of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, IranFellowship of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, IranMaster of Science in Environmental Health Engineering, Mashhad University of Medical Sciences, Mashhad, IranSurgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Anesthesia, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran; Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Corresponding author. Department of Pediatric Surgery, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Anorectal malformations are birth defects which include a wide range of diseases. With this defect, the anus and rectum don't develop properly. They can involve both genders. The involved organs in such malformations are anus, rectum, urinary and genital systems. The defects vary from very easy to very difficult curable. The incidence of these birth defects is about 1 in 5000 live births.On the other hand, perianal fistula and abscess formation are common perianal disease in children. The symptoms of perianal fistula are: secretion in the perianal area, pruritus and bleeding.Among alimentary tract duplications, anal canal duplication is the rarest and the more distal one, which has been defined as duplication along the posterior side of the anal canal, with a perineal orifice located behind the anus at 6 o'clock position and its physical aspect is duplicated anus.In this study, three cases were reported with anal duplication presenting a condition similar to perianal fistula.Reviewing these cases guide us to a new horizon that some fistulas or abscess formation in early age or in infancy might be a complication of underlying anal duplication. The proposed management for perianal fistula is fistulectomy. Keywords: Perianal fistula, Anal duplicationhttp://www.sciencedirect.com/science/article/pii/S2213576619301587 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammad mahdi khazravi Ahmad Mohammadipour Reza Nazarzadeh saeedeh majidi Shiva Ghaderifar Mehdi Fathi Marjan Joodi |
spellingShingle |
Mohammad mahdi khazravi Ahmad Mohammadipour Reza Nazarzadeh saeedeh majidi Shiva Ghaderifar Mehdi Fathi Marjan Joodi Is the perianal fistula a variation of anal duplication? Case reports and review Journal of Pediatric Surgery Case Reports |
author_facet |
Mohammad mahdi khazravi Ahmad Mohammadipour Reza Nazarzadeh saeedeh majidi Shiva Ghaderifar Mehdi Fathi Marjan Joodi |
author_sort |
Mohammad mahdi khazravi |
title |
Is the perianal fistula a variation of anal duplication? Case reports and review |
title_short |
Is the perianal fistula a variation of anal duplication? Case reports and review |
title_full |
Is the perianal fistula a variation of anal duplication? Case reports and review |
title_fullStr |
Is the perianal fistula a variation of anal duplication? Case reports and review |
title_full_unstemmed |
Is the perianal fistula a variation of anal duplication? Case reports and review |
title_sort |
is the perianal fistula a variation of anal duplication? case reports and review |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2020-02-01 |
description |
Anorectal malformations are birth defects which include a wide range of diseases. With this defect, the anus and rectum don't develop properly. They can involve both genders. The involved organs in such malformations are anus, rectum, urinary and genital systems. The defects vary from very easy to very difficult curable. The incidence of these birth defects is about 1 in 5000 live births.On the other hand, perianal fistula and abscess formation are common perianal disease in children. The symptoms of perianal fistula are: secretion in the perianal area, pruritus and bleeding.Among alimentary tract duplications, anal canal duplication is the rarest and the more distal one, which has been defined as duplication along the posterior side of the anal canal, with a perineal orifice located behind the anus at 6 o'clock position and its physical aspect is duplicated anus.In this study, three cases were reported with anal duplication presenting a condition similar to perianal fistula.Reviewing these cases guide us to a new horizon that some fistulas or abscess formation in early age or in infancy might be a complication of underlying anal duplication. The proposed management for perianal fistula is fistulectomy. Keywords: Perianal fistula, Anal duplication |
url |
http://www.sciencedirect.com/science/article/pii/S2213576619301587 |
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