title: Gastrointestinal perforations in neonates with anorectal malformations.
abstract: We describe the presentation and management of gastrointestinal perforation in four neonates with anorectal malformations. Two neonates with high malformation had pneumoperitoneum on X-ray; surgery revealed sigmoid perforation in one patient and transverse colon perforation in the other. Colostomy was done, followed by posterior sagittal anorectoplasty at four months; both recovered satisfactorily. The third neonate had no radiological feature of gut perforation but cecal perforation was found at surgery; the neonate recovered following right hemicolectomy with stoma followed by anorectoplasty at five months. The fourth neonate presented with clinical and radiological features of perforation and recovered satisfactorily after anoplasty and colostomy.
authors.affiliation: Department of Neonatal and Pediatric Surgery, S M S Medical College, S P Mother and Child Health Institute, Jaipur.
authors.forename: Shyam B
authors.initials: SB
authors.lastname: Sharma
authors.forename: Vipul
authors.initials: V
authors.lastname: Gupta
authors.forename: Vinod
authors.initials: V
authors.lastname: Sharma
mesh_terms: D004065:Digestive System Abnormalities / Q000150:complications / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008297:Male; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome