Associated anomalies with anorectal malformation (ARM).
OBJECTIVE
To find the prevalence of associated anomalies in children with anorectal malformation (ARM).


METHODS
One hundred and forty patients (80 males and 60 females) with expand were studied to detect associated anomalies and to find their prevalence. High and low type of ARM was seen in 52.14% and 47.86% of patients respectively. Associated anomalies were more common with high type of ARM (78.08%) than in patients with low type of ARM (37.31%). 58.57% patients had associated anomalies which included those of urinary system (37.14%), vertebral system (34.28%), skeletal system other than vertebral (15.17%), genital system (14.29%), cardiovascular system (12.14%), gastrointestinal tract (10.7%) and spinal cord (10%).


RESULTS
37.43% patients had 3 or more than 3 components of VACTERL association. Two patients had all six components of VACTERL. Most common association was vertebral, anal and renal anomalies seen in 16 patients.


CONCLUSIONS
Patients with ARM should undergo a detailed general physical, systemic and radiological examination (infanto-gram, echocardiography, US of urogenital system) in neonatal period to detect associated anomalies in early period.
Mittal
Amit
A
Department of Radiodiagnosis, Pt. B.D. Sharma PGIMS, Rohtak, India.
Airon
Raj Kumar
RK
Magu
Sarita
S
Rattan
Kamal Nain
KN
Ratan
Simmi K
SK
D001003:Anal Canal / Q000002:abnormalities*; D001842:Bone and Bones / Q000002:abnormalities; D000013:Congenital Abnormalities / Q000453:epidemiology*; D005260:Female; D005835:Genitalia / Q000002:abnormalities; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015995:Prevalence; D012007:Rectum / Q000002:abnormalities*; D014551:Urinary Tract / Q000002:abnormalities; D014564:Urogenital Abnormalities / Q000453:epidemiology