Question
A neonate is found to have a condition as marked by a red arrow in the picture below. You recommend studies to search for other anomalies because infants with anorectal anomalies tend to have other congenital anomalies.
Associated abnormalities include which of the following?
A. Abnormalities of the cervical spine.
B. Hydrocephalus.
C. Duodenal atresia.
D. Heart disease.
Show Answer
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Correct Answer » D
Explanation
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The condition shown in the picture above represents an imperforate anus.
- Congenital anorectal anomalies are frequently associated with other congenital anomalies including
- Heart disease;
- Esophageal atresia;
- Abnormalities of the lumbosacral spine;
- Double urinary collecting systems;
- Hydronephrosis; a
- Communication between the rectum and the urinary tract, vagina, or perineum.
- They occur in approximately 1 in 2000 live births.
- Depending on the type of anomaly (whether the rectum ends above or below the level of the levator ash complex), a variety of surgical procedures has bean devised to treat the problem.
- However, even when anatomic integrity is established, the prognosis for effective toilet training is poor.
- In 50% of cases continence is never achieved, Cervical spine thnormalities, hydrocephalus, duodenal atresia, and corneal opacities have no significant association with congenital anorectal anomalies.
