AI Article Synopsis
- Rectal duplication (RD) cysts are rare congenital issues, often identified by an extra opening in the perineum, and they typically occur without accompanying anorectal malformations (ARM).
- Two cases are highlighted: a 3-month-old baby with a specific anal dimple opening and a 2-year-old girl with more complex symptoms, including other syndromes.
- During surgery, both patients had their unusual openings linked to retrorectal cysts, emphasizing the need for careful examination and treatment of complex malformations.
Article Abstract
Rectal duplication (RD) cysts are rare congenital anomalies that can be diagnosed with the presence of another opening in the perineum. They seldom accompany anorectal malformations (ARM). Two cases of RD accompanying ARM at opposite ends of the phenotypic spectrum, are described. A 3-month-old baby and a 2-year-old girl with ARM were scheduled for posterior sagittal anorectoplasty. The infant had an orifice at the anal dimple and the other had an orifice at the vestibulum posterior to the rectovestibular fistula. The infant presented with no other anomalies whereas the older one presented with an unusual coexistence of caudal duplication and caudal regression syndromes. Perioperatively both orifices were found to be related to retrorectal cysts, and were excised. Clinicians should always be alert when dealing with complex malformations. Because these malformations have variable anatomical and clinical presentations, they can represent a diagnostic and therapeutic challenge.
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| http://dx.doi.org/10.1111/ped.12086 | DOI Listing |
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