Chen Yea-Ling, Su Yu-Tsun, Yeh Ming-Lun, Yang Yung-Ning, Tsai Ching-Chung, Ko Po-Jui
Department of Pediatrics, E-Da Dachang Hospital, No. 305, Dachang 1st Road, Sanmin District, Kaohsiung City 80794, Taiwan.
Department of Pediatrics, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan.
Children (Basel). 2022 Mar 23;9(4):454. doi: 10.3390/children9040454.
Anorectal necrosis is an uncommon lethal disease in children, characterized by necrosis of the mucosa of the anus and rectum. The difference between anorectal necrosis and Fournier's gangrene is that anorectal necrosis does not affect the genital organs. The treatment for anorectal necrosis includes debridement of the anus, colostomy, and the use of broad-spectrum antibiotics. However, anorectal necrosis may lead to anal stricture, anal malfunction, or even acquired atresia of the anus. There is no consensus on the treatment for acquired imperforate anus. Herein, we report a case of a four-month-old boy with acquired imperforate anus complicated by anorectal necrosis. We describe our experience performing posterior sagittal anorectoplasty to reconstruct a neo-anus in such a rare case.
肛门直肠坏死是一种儿童罕见的致命疾病，其特征为肛门和直肠黏膜坏死。肛门直肠坏死与福尼尔坏疽的区别在于，肛门直肠坏死不影响生殖器官。肛门直肠坏死的治疗包括肛门清创术、结肠造口术以及使用广谱抗生素。然而，肛门直肠坏死可能导致肛门狭窄、肛门功能障碍，甚至后天性肛门闭锁。对于后天性肛门闭锁的治疗尚无共识。在此，我们报告一例4个月大患后天性肛门闭锁并伴有肛门直肠坏死的男婴病例。我们描述了在这种罕见病例中进行后矢状位肛门直肠成形术重建新肛门的经验。
