title: Imperforate anus, malrotation and Hirschsprung's disease: a rare association.
abstract: The association of imperforate anus with anomalies of rectal innervation is very rare. Moreover, malrotation only rarely accompanies these malformations. We report 2 patients with this unusual triple association and its impact on their management. Retrospectively both patients presented at birth with the same radiological picture of distended distal colon and right-sided small bowel location. We discuss the importance of a systematic search for associated intestinal malformations in cases of imperforate anus in order to avoid serious complications and to choose the optimal operative strategy.
authors.affiliation: Hôpital Sainte-Justine, Montreal, Quebec, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Poenaru
authors.forename: J
authors.initials: J
authors.lastname: Uroz-Tristán
authors.forename: S
authors.initials: S
authors.lastname: Leclerc
authors.forename: S
authors.initials: S
authors.lastname: Murphy
authors.forename: A L
authors.initials: AL
authors.lastname: Bensoussan
mesh_terms: D000714:Anastomosis, Surgical; D001006:Anus, Imperforate / Q000175:diagnosis / Q000601:surgery*; D003125:Colostomy; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D007223:Infant; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D012086:Reoperation