Fetal extraperitoneal rectal perforation presenting after duodenal atresia repair.
Fetal extraperitoneal rectal perforation (FERP) is a very rare condition, but prompt diagnosis and appropriate treatment produce overall good outcome. We report the first case of FERP known to be associated with duodenal atresia, which only became clinically apparent after duodenal atresia repair and initially presented a diagnostic difficulty. Our case was successfully treated with a defunctioning colostomy and subsequent excision of the pseudocyst cavity. Proximal atresias can mask the presentation of FERP, and this diagnosis should be considered in cases of neonatal perineal and buttock swelling.
Department of Paediatric Surgery, Queen's Medical Centre, Nottingham University Hospital, Nottingham NG7 2UH, UK.
Yew-Wei
YW
Tan
Sandeep
S
Motiwale
D000015:Abnormalities, Multiple / Q000175:diagnosis*; D002114:Calcinosis / Q000000981:diagnostic imaging; D003125:Colostomy; D057210:Delayed Diagnosis; D004380:Duodenal Obstruction / Q000601:surgery; D004385:Duodenostomy; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia; D007416:Intestinal Perforation / Q000151:congenital* / Q000175:diagnosis / Q000196:embryology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis*; D012007:Rectum / Q000002:abnormalities*; D013115:Spinal Canal / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed