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[成人肛门和直肠重复畸形。1例报告]

[Duplication of the anus and rectum in an adult. Report of 1 case].

作者信息

Labastida Muñoz H, Tamayo Pérez R, Corichi Barceinas R

出版信息

Rev Gastroenterol Mex. 1978 Sep-Dec;43(3):163-70.

PMID:741144
Abstract

It is reported a case of duplication of the anus and rectum. A 48 year old man, had two functioning rectae, one ending in its normal anatomical topography and the functioning but nor functional supernumerary rectum exteriorized in the left gluteal region trough a rudimentary anus. Histological studys demonstrated a rudimentary sphincter in the ectopic anus, and focal carcinamotous transformation of one of the four adenomatous polyps, encountered protruding through the normally located anus. The anal anomaly was associated with partial agenesis of the sacrum, absence of coccyx, sacral anterior meningomyelocele and hypoplasia of the twelve right rib. The frequency of the anomaly, its histology and embriology, as well as its classification within the malformations of the terminal gut, were revised in the medical bibliography. It is concluded that this type of anomaly has not been classified or describe, before.

摘要

据报道有一例肛门和直肠重复畸形的病例。一名48岁男性有两个功能正常的直肠,一个在正常解剖位置终止,另一个功能正常但多余的直肠通过一个发育不全的肛门在左臀区域外露。组织学研究显示异位肛门有一个发育不全的括约肌,并且在通过正常位置的肛门突出的四个腺瘤性息肉之一中发现了局灶性癌性转化。肛门畸形与骶骨部分发育不全、尾骨缺失、骶前脊膜脊髓膨出以及右第十二肋发育不全有关。在医学文献中对该畸形的发生率、组织学和胚胎学以及其在终末肠道畸形中的分类进行了修订。结论是这种类型的畸形以前尚未被分类或描述过。

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