Poenaru D, Uroz-Tristán J, Leclerc S, Murphy S, Bensoussan A L
Hôpital Sainte-Justine, Montreal, Quebec, Canada.
Eur J Pediatr Surg. 1995 Jun;5(3):187-9. doi: 10.1055/s-2008-1066202.
The association of imperforate anus with anomalies of rectal innervation is very rare. Moreover, malrotation only rarely accompanies these malformations. We report 2 patients with this unusual triple association and its impact on their management. Retrospectively both patients presented at birth with the same radiological picture of distended distal colon and right-sided small bowel location. We discuss the importance of a systematic search for associated intestinal malformations in cases of imperforate anus in order to avoid serious complications and to choose the optimal operative strategy.
肛门闭锁与直肠神经支配异常的关联非常罕见。此外，肠旋转不良仅很少伴随这些畸形。我们报告了2例这种不寻常的三联征病例及其对治疗的影响。回顾性分析显示，两名患者出生时均表现出相同的影像学表现，即远端结肠扩张和小肠位于右侧。我们讨论了在肛门闭锁病例中系统检查相关肠道畸形的重要性，以避免严重并发症并选择最佳手术策略。
