乌干达西部 15 岁被忽视的直肠前庭瘘患儿：病例报告。
15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report.
机构信息
Department of Surgery, Pediatric Surgical Unit, Mbarara University of Science and Technology, Mbarara, Uganda.
Department of Surgery, Kabale University School of Medicine, Kabale, Uganda.
出版信息
J Med Case Rep. 2021 Feb 25;15(1):96. doi: 10.1186/s13256-021-02717-5.
BACKGROUND
Teenage and late presentation of anorectal malformations are not uncommon in developing world. Some of the reasons for late presentation include but not limited to illiteracy, poverty, lack of awareness, and limited trained pediatric surgeons. In rural areas, neonates with ARMs are considered cursed and are marginalized.
CASE
15-Year-old African girl (a munyankole by tribe in Uganda) from western Uganda presented at 15 years of life with colostomy and uncorrected anorectal malformation. Never went to school due to social stigma.
CONCLUSION
Due to limited number of trained pediatric surgeons in most of African Countries, many children in addition to living with a colostomy or untreated malformation, may also be undiagnosed with chronic constipation. Improved awareness and advocacy would promote early presentation and treatment.
背景
在发展中国家，青少年和晚期出现的肛门直肠畸形并不少见。导致晚期出现的原因包括但不限于文盲、贫困、缺乏意识以及受过训练的儿科外科医生有限。在农村地区，患有肛门直肠畸形的新生儿被认为是受到了诅咒而被边缘化。
病例
一名来自乌干达西部的 15 岁非洲女孩（乌干达的一个部落的姆扬科勒族人），出生时患有肛门直肠畸形并带有造口，至今未接受治疗。由于社会耻辱感，她从未上过学。
结论
由于大多数非洲国家受过训练的儿科外科医生数量有限，许多儿童不仅要带着造口生活，或者患有未治疗的畸形，还可能患有慢性便秘而未被诊断出来。提高认识和宣传可以促进早期出现和治疗。
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