Kurashima Maho, Joshi Samrudhi, Sobrino Justin, Blewett Christopher
Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital, Saint Louis, USA.
Pediatric Surgery, Saint Louis University School of Medicine, Saint Louis, USA.
Cureus. 2023 May 8;15(5):e38694. doi: 10.7759/cureus.38694. eCollection 2023 May.
Rectal atresia is a rare cause of bowel obstruction in neonates with a normal-appearing anus. We present two different types of rectal atresia requiring different surgical management. Case one was a one-day-old term male with web-type rectal atresia diagnosed preoperatively with bedside obliteration of the web. Subsequent transanal web resection was performed. Case two was a one-day-old male born at 28 weeks weighing 980 g with significant cardiac defects including aortic atresia. The patient underwent initial colostomy creation and delayed rectal anastomosis via posterior sagittal anorectoplasty. We review the published literature, discuss the surgical strategy, and highlight the decision-making of diverting ostomy creation and approach of definitive anorectal anastomosis.
直肠闭锁是肛门外观正常的新生儿肠梗阻的罕见原因。我们介绍了两种不同类型的直肠闭锁，需要不同的手术治疗。病例一是一名1日龄足月儿男婴，患有蹼状直肠闭锁，术前经床边蹼状物闭塞诊断。随后进行了经肛门蹼状切除术。病例二是一名孕28周出生的1日龄男婴，体重980克，患有包括主动脉闭锁在内的严重心脏缺陷。该患者最初进行了结肠造口术，并通过后矢状位肛门直肠成形术进行了延迟直肠吻合术。我们回顾了已发表的文献，讨论了手术策略，并强调了造口分流术的决策以及确定性肛门直肠吻合术的方法。
