Asset Details
Do you wish to reserve the book?
Anal imperforation in a Congo village: a challenge for treatment
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Anal imperforation in a Congo village: a challenge for treatment
Do you wish to request the book?
Anal imperforation in a Congo village: a challenge for treatment
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Anal imperforation in a Congo village: a challenge for treatment
2021
Overview
Most anorectal malformations are identified in the examination of the newborn or are manifested in the first 24 hours by abdominal distension, absence of dejections and bilious vomiting.1 The type of surgery is variable, but immediate evaluation is urgent to avoid serious complications such as intestinal perforation and sepsis.2 3 We report a case of a male newborn, transported by plane on the third day of life from a rural area to a level II hospital in Kinshasa, due to anal imperforation noted at birth, with bilious vomiting in the first 24 hours of life. On examination, he showed signs of moderate dehydration, abdominal distention and absence of anal orifice (figure 1). Meconium emission through the urinary meatus was observed, with no visible fistulas. A nasogastric tube was placed immediately to decompress the abdomen and prevent intestinal perforation. The analytical study was normal and abdominal ultrasound revealed anorectal malformation with a suspected urinary fistula. He was submitted to surgery with terminal colostomy and started antibiotherapy with cefotaxime. He had a fever in the first day after surgery, so metronidazole and amikacin were added. He started breastfeeding with good tolerance, with progressive reduction in fluid therapy. He was discharged after 7 days with reconstructive surgery already scheduled.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
