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Year : 2010  |  Volume : 6  |  Issue : 4  |  Page : 114-115

Membranous variety of rectal atresia - primary management in a neonate


Department of Pediatric Surgery, T.N. Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, India

Correspondence Address:
Shalika Jayaswal
B-18 Anand Bhavan, T.N. Medical College and B.Y.L. Nair Charitable Hospital, Dr. A. L. Nair Road, Mumbai Central, Mumbai - 400 008, Maharashta
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.72598

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Rectal atresia is a rare form of anorectal malformation, with reported incidence of 1 to 2% and membranous variety of rectal atresia is even rarer. Most reported cases have been dealt with a staged procedure which includes sigmoid colostomy. We diagnosed and classified the variety of rectal atresia by performing an X-Ray (invertogram along with the red rubber catheter in situ.). In lesser developed geographies where MRI is not readily available or not affordable, this simple test could be used to confirm the variety of rectal atresia. However, the usual fallacies of invertogram should be considered. Here we report a neonate with membranous variety of rectal atresia managed by transanal endoscopic fulguration using bugbee passed through the cystourethroscope, without a covering sigmoid stoma.






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