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Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report

Received: 30 September 2016     Accepted: 14 January 2017     Published: 10 November 2017
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Abstract

Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by urethrostomy. Subcoronal hypospadias and urethrostomy was corrected in second setting.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 3, Issue 6)
DOI 10.11648/j.ijbecs.20170306.12
Page(s) 81-84
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Anal Position, Anterior Displacement of Anus, Infant Recto Perineal Fistula, Ectopic Anus, Anorectal Malformation, Anoplasty, Sphincter Complex

References
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[2] Leape LL, Ramenofsky ML. Anterior ectopic anus: A common cause of constipation in children. J Pediatr Surg 1978; 13 (6D): 627- 630.
[3] Thambidorai CR, Raghu R, Zulfiqar A. Magnetic resonance imaging in anterior ectopic anus. Pediatr Surg Int 2008; 24 (2): 161-5.
[4] Upadhyaya P. Mid-anal sphincteric malformation, cause of constipation in anterior perineal anus. J Pediatr Surg 1984; 19: 183- 186.
[5] Reisner SH, Nitzan M. Determination of anterior displacement of the anus in the newborn infants and children. Pediatrics 1984; 73: 216-217.
[6] Erturk N, Kandemir O. Determination of normal anal position index using a modified technique in Turkish neonates. Journal of Indian Association of Pediatric Surgeons. 2017 Jan 1; 22 (1): 29.
[7] Bar-Maor JA, Eitan A. Determination of the normal position of the anus (with reference to the idiopathic constipation). J Pediatr Gastro-Enterol Nutr 1987; 6: 559-561.
[8] Tuggle DW1, Perkins TA, Tunell WP, Smith EI. Operative treatment of anterior ectopic anus: the efficacy and influence of age on results. J Pediatr Surg. 1990; 25 (9): 996-7.
[9] Abeyaratne M. Posterior transposition of anterior ectopic anus. J Pediatr Surg 1991; 26 (6): 725-.
[10] Shah AJ, Bhattacharjee N, Patel DN, Ganatra JR. Anal shift: preliminary results. J Pediatr Surg 2003; 38 (2): 196-8.
[11] Rerksuppaphol S, Rerksuppaphol L. Anterior displacement of anus: a common association with constipation in infancy. Asian Biomed. 2011 Mar 16;4 (4): 595.
[12] Levitt MA, Pena A. Anorectal malformations. Orphanet J Rare Dis. 2007; 2: 33.
[13] Godbole K: Many faces of hirschsprung’s disease. Indian Pediatr. 2004; 41: 1115-23.
[14] Thambidorai CR, Raghu R, Zulfiqar A. Magnetic resonance imaging in anterior ectopic anus. Pediatric surgery international. 2008 Feb 1; 24 (2): 161-5.
[15] Kluth D. Embryology of anorectal malformations. InSeminars in pediatric surgery 2010 Aug 31 (Vol. 19, No. 3, pp. 201-208). WB Saunders.
[16] AbouZeid AA, Mohammad SA. Low-type anorectal malformations in the male: extent of deviation from the norm. Journal of Pediatric Surgery. 2016 Jun 6.
[17] Ziegelmann MJ, Viers BR, Cockerill PA, Viers LD, Matsumoto JM, Granberg CF. The Utility of Magnetic Resonance Imaging in the Evaluation of Accessory Scrotum in the Newborn. Urology. 2016 Jun 16.
Cite This Article
  • APA Style

    Prashant Patil, Abhay Gupta, Shahaji Deshmukh, Prasad Bansod. (2017). Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report. International Journal of Biomedical Engineering and Clinical Science, 3(6), 81-84. https://doi.org/10.11648/j.ijbecs.20170306.12

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    ACS Style

    Prashant Patil; Abhay Gupta; Shahaji Deshmukh; Prasad Bansod. Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report. Int. J. Biomed. Eng. Clin. Sci. 2017, 3(6), 81-84. doi: 10.11648/j.ijbecs.20170306.12

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    AMA Style

    Prashant Patil, Abhay Gupta, Shahaji Deshmukh, Prasad Bansod. Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report. Int J Biomed Eng Clin Sci. 2017;3(6):81-84. doi: 10.11648/j.ijbecs.20170306.12

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  • @article{10.11648/j.ijbecs.20170306.12,
      author = {Prashant Patil and Abhay Gupta and Shahaji Deshmukh and Prasad Bansod},
      title = {Anterior Ectopic Anus in Scrotum with Subcoronal Hypospadias in a Neonate: A Case Report},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {3},
      number = {6},
      pages = {81-84},
      doi = {10.11648/j.ijbecs.20170306.12},
      url = {https://doi.org/10.11648/j.ijbecs.20170306.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20170306.12},
      abstract = {Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by urethrostomy. Subcoronal hypospadias and urethrostomy was corrected in second setting.},
     year = {2017}
    }
    

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Author Information
  • Dept of Paediatric surgery, L. T. M. G. Hospital, Sion, Mumbai, Maharashtra, India

  • Dept of Paediatric surgery, L. T. M. G. Hospital, Sion, Mumbai, Maharashtra, India

  • Dept of Paediatric surgery, L. T. M. G. Hospital, Sion, Mumbai, Maharashtra, India

  • Dept. of Surgery, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India

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