Congenital anal atresia

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Saturday, June 22, 2019
Pathophysiology Type I A membrane over the anal opening remains, with the rectum ending as a blind pouch just cranial to the closed anus. Type II The anus is closed as in Type I but the rectal pouch is located somewhat cranial to the membrane overlying the anus. Type III The rectum ends as a blind pouch cranially within the pelvic canal rectal atresia , while the terminal rectum and anus are normal. Type IV In females, atresia ani exists with a persistent communication between the rectum and the vagina rectovaginal fistula.
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Imperforate anus

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The anus is either not present or it is in the wrong place. Description There are basically two kinds of anal atresia. In boys with high anal atresia, there may be a channel fistula connecting the large intestine to either the urethra which delivers urine from the bladder or the bladder itself. In girls, the channel may connect with the vagina. Sixty percent of children with high anal atresia have other defects, including problems with the esophagus, urinary tract, and bones. In low anal atresia, the channel may open in front of the circular mass of muscles that constrict to close the anal opening anal sphincter or, in boys, below the scrotum. Occasionally, the intestine ends just under the skin.
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special need highlight: adopting a child with anal atresia

This is the Professional Version. Click here for the Consumer Version Anal atresia is an imperforate anus. In anal atresia, the tissue closing the anus may be several centimeters thick or just a thin membrane of skin.
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This is the Professional Version. Click here for the Consumer Version Anal atresia is an imperforate anus. In anal atresia, the tissue closing the anus may be several centimeters thick or just a thin membrane of skin.
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