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Anorectal Malformations

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Handbook of Pediatric Surgery

Abstract

Incidence ∼1 in 5,000 More common in Down’s syndrome and Cat-eye syndrome. Male > female (60:40) Second child involvement rare (<1%)

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Notes

  1. 1.

    Cat-eye syndrome – colobomata and ARM typically due to aneuploidy (e.g., trisomy of Chro­mosome 22).

  2. 2.

    Cloaca – Latin “sewer.”

  3. 3.

    Sonic Hedgehog (SHH) – Blue computer game character popular in 1990s when gene was named.

  4. 4.

    BMP4 (bone morphogenetic protein) – part of TGF-β superfamily.

  5. 5.

    HOX – or Homeobox genes. Highly conserved genes responsible for basic patterning in embryo.

  6. 6.

    Ettiene Louise Arthur Fallot (1850–1911) – French physician working in Marseille, described details of two cases in 1888, although many previous reports.

Further Reading

  1. Levitt MA, Peña A (2007) Anorectal malformations. Orphanet J Rare Dis 26(2):33

    Google Scholar 

  2. Peña A, Grasshoff S, Levitt M (2007) Reoperations in anorectal malformations. J Pediat Surg 42:318–325

    Article  PubMed  Google Scholar 

  3. Levitt MA, Peña A (2005) Outcomes from the correction of anorectal malformations. Curr Opin Pediatr 17:394–401

    Article  PubMed  Google Scholar 

  4. Rintala RJ, Pakarinen MP (2008) Imperforate anus: long- and short-term outcome. Semin Pediatr Surg 17:79–89

    Article  PubMed  Google Scholar 

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Sinha, C.K., Levitt, M.A., Peña, A. (2010). Anorectal Malformations. In: Sinha, C., Davenport, M. (eds) Handbook of Pediatric Surgery. Springer, London. https://doi.org/10.1007/978-1-84882-132-3_18

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  • DOI: https://doi.org/10.1007/978-1-84882-132-3_18

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-131-6

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