Imperforate Anus Flashcards
Is a stricture or the absence of the anus.
Imperforate anus
What week does the upper bowel elongates to pouch and combine eith a pouch invaginating fron the perineum
Week 7 of intrauterine life
Imperforate anus occurs more commonly in
Males than in females
The problem occurs approximately
One in 5000 live births
Why is an imperforate anus an additional complication of spinal cord disorders
Because both the external anal canal and the spinal cord arise from the same germ tissue layer
How is imperforate anus detected
The condition may be detected by a prenatal sonogram or when inspection at birth
What reflex will not be elicited in an imperforated anus
The “wink reflex”
If the infant has not had a stool, the parent may be asked what
Urine specimen to check for rectal-bladder fistula in males and rectovaginal fistula in females
If repair is extensive
Child is given a temporary colostomy, and final repair performed when infant is somewhat between 6 to 12 months
Latin of spina bifida
Divided spine
Imperforate anus is discovered at birth when inspection of a newborn’s anal region reveals
*no anus
*a membrane filled with black meconium protrudes from the anus
* if it is impossible to insert a rubber catheter into the rectum
In an imperforated anus, what will be evident by 24 hours?
*no stool will be passed
*abdominal distention will become evident
For repairing an imperforated anus, if the rectum ends close to the perineum and the anal sphincter is formed, the repair involves what?
Simple laparoscopy with anastomosis of the separated bowel segments.