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Neonatal colon perforation due to anorectal malformations: can it be avoided?
World J Gastroenterol. 2013 Jul 07; 19(25):3915-7.WJ

Abstract

Anorectal malformations (ARM) are common anomalies in neonates. Diagnostic and therapeutic delays in the management of ARM may lead to colonic perforation, and even death. Physical examination of the perineum is often sufficient to diagnose ARM in neonates. Notwithstanding, delayed diagnosis of ARM has become increasingly familiar to surgeons, as evidenced by the number of recent publications on this topic in the literature. In this commentary, we discuss spontaneous colonic perforation due to delayed diagnosis of ARM in neonates, and highlight the importance of early diagnosis in assuring good outcomes with surgical management. At this point, a thorough examination of the perineum during the initial newborn assessment is mandatory, particularly in those patients presenting with abdominal signs or symptoms.

Authors+Show Affiliations

Gastric and Colorectal Division, Department of Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China. tongweidong@gmail.comNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23840135

Citation

Tong, Wei-Dong, and Kirk A. Ludwig. "Neonatal Colon Perforation Due to Anorectal Malformations: Can It Be Avoided?" World Journal of Gastroenterology, vol. 19, no. 25, 2013, pp. 3915-7.
Tong WD, Ludwig KA. Neonatal colon perforation due to anorectal malformations: can it be avoided? World J Gastroenterol. 2013;19(25):3915-7.
Tong, W. D., & Ludwig, K. A. (2013). Neonatal colon perforation due to anorectal malformations: can it be avoided? World Journal of Gastroenterology, 19(25), 3915-7. https://doi.org/10.3748/wjg.v19.i25.3915
Tong WD, Ludwig KA. Neonatal Colon Perforation Due to Anorectal Malformations: Can It Be Avoided. World J Gastroenterol. 2013 Jul 7;19(25):3915-7. PubMed PMID: 23840135.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neonatal colon perforation due to anorectal malformations: can it be avoided? AU - Tong,Wei-Dong, AU - Ludwig,Kirk A, PY - 2013/02/19/received PY - 2013/04/10/revised PY - 2013/04/17/accepted PY - 2013/7/11/entrez PY - 2013/7/11/pubmed PY - 2014/2/18/medline KW - Anorectal malformation KW - Bowel perforation KW - Colon KW - Imperforate anus SP - 3915 EP - 7 JF - World journal of gastroenterology JO - World J Gastroenterol VL - 19 IS - 25 N2 - Anorectal malformations (ARM) are common anomalies in neonates. Diagnostic and therapeutic delays in the management of ARM may lead to colonic perforation, and even death. Physical examination of the perineum is often sufficient to diagnose ARM in neonates. Notwithstanding, delayed diagnosis of ARM has become increasingly familiar to surgeons, as evidenced by the number of recent publications on this topic in the literature. In this commentary, we discuss spontaneous colonic perforation due to delayed diagnosis of ARM in neonates, and highlight the importance of early diagnosis in assuring good outcomes with surgical management. At this point, a thorough examination of the perineum during the initial newborn assessment is mandatory, particularly in those patients presenting with abdominal signs or symptoms. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/23840135/Neonatal_colon_perforation_due_to_anorectal_malformations:_can_it_be_avoided L2 - https://www.wjgnet.com/1007-9327/full/v19/i25/3915.htm DB - PRIME DP - Unbound Medicine ER -