Anorectal Malformation With Fistel

Anjani Berliana Alitu; Berry Erida Hasbi; Fitriya Idrus; Muhammad Fakhri Rumi; Floria Eva

Authors

Anjani Berliana Alitu Program Studi Profesi Dokter Umum Fakultas Kedokteran UMI
Berry Erida Hasbi Bagian Ilmu Bedah Fakultas Kedokteran UMI
Fitriya Idrus Bagian Ilmu Kesehatan Anak Fakultas Kedokteran UMI
Muhammad Fakhri Rumi Bagian Ilmu Bedah Fakultas Kedokteran UMI
Floria Eva Bagian Ilmu Kesehatan Anak Fakultas Kedokteran UMI

Keywords:

Fistula, Anorectal Malformation, PSARP

Abstract

Anorectal malformation (MAR) with fistula is a congenital abnormality in which patients do not have an anus and the formation of a fistula. In men, the types of fistula are rectovesica fistula, rectourethra, and perineal fistula. Meanwhile, in women, the types of fistula are rectovaginal fistula, rectovestibular fistula, cloaca and perineal fistula. The diagnosis is made by the presence of meconium in the urine. On physical examination, a flat perineum was found, there was no anal dimple and there was meconium in the perineum. The treatment is colostomy in cases of high fistula then Posterior Sagittal Anorectoplasty (PSARP) and fistulectomy, while in low fistula cases PSARP and fistulectomy are immediately performed.

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