Introduction: Anorectal malformations concern all anomalies of the terminal part of the digestive tract often diagnosed in the perinatal period. We report a clinical case of anorectal malformation discovered incidentally and very late at 70 years, following complications from the infectious syndrome. Observation: 70-year-old female patient, housewife, uneducated was referred to the hospital for acute febrile, cough, and mental confusion associated with chronic pelvic pain. The genito-anal examination showed an anal imperforation associated with a recto-vaginal fistula complicated by cervico-vaginitis. The evolution during hospitalization was favorable, but the patient died at home, 3 weeks after discharge. Conclusion: The discovery of anorectal malformation in adults is rare and exceptional in an elderly subject. This case demonstrates once again the challenges encountered in developing countries on the socio-economic and health levels.
References
[1]
Frémond, B. (2005) Malformations anorectales. Bernard blanc, laurentsiproudhis. Pelvi-périnéologie. Springer, Paris.
[2]
Cuschieri, A. (2001) Descriptive Epidemiology of Isolated Anal Anomalies: A Survey of 4.6 Million Births in Europe. American Journal of Medical Genetic, 103, 207-215. https://doi.org/10.1002/ajmg.1532
[3]
World Health Organization, Centers for Disease Control and Prevention (U.S.) and International Clearinghouse for Birth Defects Monitoring Systems (2014) Birth Defects Surveillance: A Manual for Programme Managers. World Health Organization, Geneva, 114 p. https://apps.who.int/iris/handle/10665/110223
[4]
Shija, J.K. (1986) Quelques observations sur les malformations anorectales au Zimbabwe. Central African Journal of Medicine, 32, 208-213. https://journals.co.za/doi/epdf/10.10520/AJA00089176_931
[5]
Theron, A. and Loveland, J. (2015) Birth Prevalence of Anorectal Malformation in the Referral Area for the University of the Witwatersrand Tertiary Hospitals, South Africa. European Journal of Pediatric Surgery, 3, 220-225. https://doi.org/10.1055/s-0033-1360456
[6]
Podberesky, D.J., Towbin, A.J., Eltomey, M.A., et al. (2013) Magnetic Resonance Imaging of Anorectal Malformations. Magnetic Resonance Imaging Clinics of North America, 21, 791-812. https://doi.org/10.1016/j.mric.2013.04.010
[7]
Rawat, J., Singh, S. and Pant, N. (2018) Anorectal Malformations in Adolescent Females: A Retrospective Study. Journal of Indian Association of Pediatric Surgeons, 23, 57-60. https://doi.org/10.4103/jiaps.JIAPS_125_17
[8]
Beaudoin, S. (2002) Malformations Ano-Rectales. Encyclopédie Orphies.
[9]
Bonnot, O., Vollset, F. and Godet, P. (2003) Exposition in utero au lorazépam et atrésie anale: Signal épidémiologique. EM Premium L’Encéphale, 7, 553-559.
[10]
Cuschieri, A. and Group, E.W. (2002) Anorectal Anomalies Associated with or as Part of Other Anomalies. American Journal of Medical Genetics, 110, 122-130. https://doi.org/10.1002/ajmg.10371
[11]
Lawal, T.A. (2019) Overview of Anorectal Malformations in Africa. Frontiers in Surgery, 6, Article 291. https://doi.org/10.3389/fsurg.2019.00007
[12]
Mfinanga, R.J., Massenga, A., Mashuda, F., et al. (2018) Clinical Profile and Outcome of Surgical Management of Anorectal Malformations at a Tertiary Care Hospital in Tanzania. Tanzania Journal of Health Research, 20, 1-11.
[13]
Ogundoyin, D.O.O. (2013) Anorectal Malformation in an Adult: A Case Report. African Journal of Medicine and Medical Sciences, 42, 359-360.
[14]
Iwai, N., Yanagihara, J., Tokiwa, K., et al. (1988) Voluntary anal Continence after Surgery for Anorectal Malformations. Journal of Pediatric Surgery, 23, 393-397. https://doi.org/10.1016/S0022-3468(88)80433-0
