Shija J K
Muhimbili Medical Centre, University of Dar es Salaam, Tanzania.
East Afr Med J. 1995 Feb;72(2):130-1.
A 3.8 kg female baby, who was born on 7-2-92 by normal vaginal delivery at a zonal hospital in the Southern Highlands of Tanzania, was initially noted to have had an "ectopic" anus (an ano-perineal fistula) but was otherwise normal. She had delay in the passage of meconium upto the third day, and by the fifth day had developed marked abdominal distension. Following a period of unsuccessful saline "enemas" she had to undergo a right transverse colostomy in the fourth week (which relieved the distension) for what was then presumed to be Hirschsprung's Disease. She was referred to the National Referral hospital in Dar es Salaam a year later, where she was found to have an entirely intra-pelvic sacrococcygeal teratoma in association with a "low" anorectal malformation. This unusual case is of interest because of the rare association of intrapelvic sacrococcygeal teratoma with anorectal malformation which led to the initial mis-diagnosis of hirschsprung's disease.
一名3.8千克重的女婴于1992年2月7日在坦桑尼亚南部高地的一家地区医院通过正常阴道分娩出生。最初发现她有“异位”肛门（肛门会阴瘘），但其他方面正常。她直到第三天胎粪才排出，到第五天出现明显腹胀。经过一段时间的生理盐水“灌肠”未成功后，她在第四周接受了右半横结肠造口术（缓解了腹胀），当时推测为先天性巨结肠症。一年后她被转诊至达累斯萨拉姆的国家转诊医院，在那里发现她患有完全位于盆腔内的骶尾部畸胎瘤，并伴有“低位”肛门直肠畸形。这个不寻常的病例很有意思，因为盆腔内骶尾部畸胎瘤与肛门直肠畸形的罕见关联导致了最初对先天性巨结肠症的误诊。
