Successful management in neglected cases of adult anorectal malformation

Chakravartty S, Maity K, Ghosh D, Choudhury CR, Das S
Correspondence: Dr Saurav Chakravartty, saurav_tty@yahoo.com

ABSTRACT
Posterior sagittal anorectoplasty (PSARP) is the procedure of choice in cases of anorectal malformation in children. Adult patients can present with anorectal malformation in developing countries. As there is very little data regarding the success of PSARP in cases of adult anorectal malformations, the aim of this study was to perform and assess the effectiveness of PSARP in adults. Two adults (one male, one female) aged 16 and 17 years, respectively, underwent a diverting colostomy followed by a PSARP. The female underwent a posterior vaginal anorectoplasty due to a rectovaginal fistula and is leading a normal life. The male patient had a rectourethral fistula which required meticulous dissection and is now doing well with a Kelly’s score of five. Our experience here suggests that a PSARP provided satisfactory results in adults who present late with an anorectal malformation.

Keywords: adult anorectal malformation treatment,adult posterior sagittal anorectoplasty, anorectal malformation, posterior sagittal anorectoplasty
Singapore Med J 2009; 50(8): e280-e282