Pattern of anorectal malformations in Sudan

Authors

  • Amir A. Mohammadain Faculty of Medicine, Alneelain University, Khartoum, Sudan
  • Ejlal A. Hussain Ahfad University for Women, Khartoum, Sudan
  • Saadeldin A. Idris Alzaeim Alazhari University, Khartoum,Sudan
  • Yasir O. M. Awad Gadarif University, Gadarif, Sudan
  • Ibrahim S. Elkheir Alzaeim Alazhari University, Khartoum,Sudan

DOI:

https://doi.org/10.21276/apjhs.2015.2.2.21

Keywords:

Anorectal malformations, Imperforated anus (IA), Pattern, Fistula, Co-existent anomalies

Abstract

Anorectal malformations are a congenital malformation in which the terminal portion of the hindgut lies partially or completely outside the sphincter mechanism. To determine the pattern of anorectal malformations among Sudanese children a multicentric cross sectional study included all newborn babies admitted with imperforated anus during the period from Jan 2012 to Dec 2013. Data were collected using a predesigned questionnaire. The study included 59newborn babies their mean age was 2.6 ± 1.2 days (range, 1- 6 days), with male predilection; male to female ratio was 1.7:1. The defect was high in 61%. Male patients had a tendency to develop high imperforated anus (31/37 (83.8%)), whereas females had a tendency to develop low variety (13/22 (59.1%)), p=0.000. Associated fistula was seen in 18 (30.5%) patients, and 5.1% had a family history of imperforated anus. Coexistent anomalies were seen in 16.9%, and the commonest were genital anomalies and Down syndrome that observed in 6.8% and 3.3% respectively. The presence of co-existent anomalies was not affected by pattern of the condition, maternal age or gender (p> 0.05). In conclusion malesare affected morethan females and theyhad high defects more frequently. Females were more likely to have low lesions. The most common associated defects were genital anomalies and Down syndrome.

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Author Biographies

Amir A. Mohammadain, Faculty of Medicine, Alneelain University, Khartoum, Sudan

Associate professor, Department of Surgery,

Ejlal A. Hussain, Ahfad University for Women, Khartoum, Sudan

Lecturer, Department of Anatomy, Faculty of Medicine, 

Saadeldin A. Idris, Alzaeim Alazhari University, Khartoum,Sudan

Associate professor, Department of Surgery, Faculty of Medicine, 

Yasir O. M. Awad , Gadarif University, Gadarif, Sudan

Assistant professor, Department of Surgery, Faculty of Medicine, 

Ibrahim S. Elkheir, Alzaeim Alazhari University, Khartoum,Sudan

Associate professor, Department of Surgery, Faculty of Medicine,

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Published

2015-06-30

How to Cite

Amir A. Mohammadain, Ejlal A. Hussain, Saadeldin A. Idris, Yasir O. M. Awad, & Ibrahim S. Elkheir. (2015). Pattern of anorectal malformations in Sudan. Asian Pacific Journal of Health Sciences, 2(2), 137–141. https://doi.org/10.21276/apjhs.2015.2.2.21