Abstract
A case of monozygotic twin boys with anorectal malformation with delayed presentation of bowel perforation. Both are managed surgically with a colostomy; after a definite diagnosis of anorectal malformation with a urethral fistula based on distal colostography, both boys underwent anoplasty with a posterior sagittal approach. Stoma closure was performed, and we found no complication during eight months of follow-up. Delay in the management of the twins was due to a lack of anal screening of the newborn. The unavailability of the neonatal intensive care unit became a significant concern. Distal colostography was performed for the definitive procedure. Despite that limitation, anorectoplasty was performed with a posterior sagittal approach. Anorectal malformations in twins are a rare case requiring thoughtful surgical care. A thorough understanding of the limitation of our resources could help in planning management for anorectal malformation, especially in twins.
Recommended Citation
Gunardi, Hardian; Rachmawati, Asri D.; and Susilo, Nanok E.
(2021)
"Anorectal Malformations in Monozygotic Twins: An Illustration of Management of Anorectal Malformations in A Tertiary Hospital in Indonesia,"
The New Ropanasuri Journal of Surgery: Vol. 6:
No.
1, Article 7.
DOI: 10.7454/nrjs.v6i1.1097
Available at:
https://scholarhub.ui.ac.id/nrjs/vol6/iss1/7
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