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http://dx.doi.org/10.12701/yujm.2020.00507

The diagnosis of an imperforate anus in female fetuses  

Kim, Hyun Mi (Department of Obstetrics and Gynecology, Kyungpook National University Hospital)
Cha, Hyun-Hwa (Department of Obstetrics and Gynecology, Kyungpook National University Hospital)
Kim, Jong In (Department of Obstetrics and Gynecology, Kyungpook National University Chilgok Hospital)
Seong, Won Joon (Department of Obstetrics and Gynecology, Kyungpook National University Hospital)
Park, Sook-Hyun (Department of Pediatrics, Kyungpook National University Hospital, School of Medicine, Kyungpook National University)
Kim, Mi Ju (Department of Obstetrics and Gynecology, Kyungpook National University Hospital)
Publication Information
Journal of Yeungnam Medical Science / v.38, no.3, 2021 , pp. 240-244 More about this Journal
Abstract
Imperforate anus is an anomaly caused by a defect in the development of the hindgut during early pregnancy. It is a relatively common congenital malformation and is more common in males. Although there are cases of a solitary imperforate anus, the condition is more commonly found as a part of a wider spectrum of other congenital anomalies. Although urgent reconstructive anorectal surgery is not necessary, immediate evaluation is important and urgent decompressive surgery may be required. Moreover, as there are often other anomalies that can affect management, prenatal diagnosis can help in optimizing perinatal care and prepare parents through prenatal counseling. In the past, imperforate anus was diagnosed by prenatal ultrasonography based on indirect signs such as bowel dilatation or intraluminal calcified meconium. Currently, it is diagnosed by directly checking the perineum with prenatal ultrasonography. Despite advances in ultrasound technology, accurate prenatal diagnosis is impossible in most cases and imperforate anus is detected after birth. Here, we present two cases of imperforate anus in female fetuses that were not diagnosed prenatally.
Keywords
Fetus; Imperforate anus; Prenatal diagnosis; Ultrasonography;
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