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Diet treatment of congenital imperforate anus and recto-vaginal fistula








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Newborns with imperforate anus should not be fed and should receive intravenous hydration. Life-threatening comorbidities take precedence and must be treated first. If a urinary fistula is suspected, broad-spectrum antibiotics can be administered, although anaerobic coverage is unnecessary within.

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). Recto - vaginal fistula or anus vaginalis is an inherited lethal abnormality in which, there is an abnormal passage between rectum and vagina, and faeces are voided through the latter due to imperforate anus (Oehme and Prier, ). Atresia ani associated with recto-vaginal fistula was reported in many species, viz. calves (Shakoor et. Rectovaginal fistula is included as one of the rare/regional variants in the Krickenbeck classification (),,. Rectovaginal fistula, along with congenital pouch colon (CPC) and H-type fistula are more common in India and some Asian countries.

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Despite the low entry of the rectum into the vagina in some females with imperforate anus, the fistula may be deceivingly long. This variation should alert the surgeon to measure the fistula prior. Congenital rectovaginal fistula is characterized by the communication between the dorsal wall of the vagina and the ventral portion of the rectum, so that the vulva functions as a common opening to the urogenital and gastrointestinal tracts (1,2).

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Imperforate anus is a congenital anomaly that is frequently observed in pediatric surgical units with an incidence of 1 per live births reported globally. Introduction. We report for the first time a unique case of VACTERL (vertebral anomalies, anal atresia or imperforate anus, cardiac anomalies, tracheoesophageal fistula, renal and limb defect) spectrum associated with portal hypertension.

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ICD Q Short Description: Congenital fistula of rectum and anus Long Description: Congenital fistula of rectum and anus This is the version of the ICDCM diagnosis code Q Valid for Submission The code Q is valid for submission for HIPAA-covered transactions.

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Imperforate anus may be seen as part of the vertebral defects, imperforate anus, tracheoesophageal fistula, and radial and renal dysplasia (VATER) or vertebral abnormalities, anal atresia, cardiac abnormalities, tracheoesophageal fistula and/or esophageal atresia, renal agenesis and dysplasia, and limb defects (VACTERL) association.

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A rectovaginal fistula is an abnormal passage or opening between the rectum and vagina. Some women may be asymptomatic, but most complain of an uncontrollable passage of gas and/or stool through the vagina.

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Imperforate anus, also called anorectal malformation, is a congenital (existing before birth) defect that happens early in pregnancy, while a baby is still developing.

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A recto-bladder neck fistula is a connection between the rectum and the bladder causing urine and feces to mix and empty out of the urethra. Congenital recto-vestibular fistula and recto-vaginal fistula - A recto-vestibular fistula is characterized by a connection between the rectum and the vaginal vestibule.

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An imperforate anus is a birth defect that happens while your baby is still growing in the womb. This defect means that your baby has an improperly developed anus, and therefore can't pass stool.


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The anal sphincter-preserving operation is the procedure of choice for rectovaginal fistulas that open below the hymen into the fossa navicularis and for all rectoperineal fistulas. The success of immediate definitive treatment depends upon the skill of the surgeon, and the presence or absence of prematurity and associated anomalies.

Description:The most common defect in both boys and girls is an imperforate anus with a fistula between the distal bowel and the urethra in boys or the vestibule of the vagina in girls. The risk for a couple having a second child with an anorectal malformation is approximately 1%. Rectovaginal fistula is a fistulous tract that connects the vagina and rectum and usually is seen in conjunction with imperforate anus. Passage of feces through the vulva is suggestive. Passage of feces through the vulva is suggestive. The anal passage may be narrow or misplaced in front of where it should be located. A membrane may be present over the anal opening. The rectum may not connect to the anus. The rectum may connect to part of the urinary tract or the reproductive system through a passage called a fistula, and an anal opening is not present.
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