Rectal Membraneous Atresia の1例

概要

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We have a case of rectal membraneous atresia in a 1-day-old male. His anus looked normal, but the rectum was closed by a membrane about 5 mm proximal to the pectineal line. The membrane was excised through the anus and bougienage had continued for about 3 months after operation. There is no functional problem in his evcuation. Rectal membraneous atresia is not described in The International Classification (1970). It was first named by Japanese study group pf anorectal anomalies. Rectal atresia is classified in the high deformities (supralevator). The definition of the term "rectal atresia" in 1970 was that the proximal and distal pouches were connected with a cord like tissue. But several patients whose rectums were separated with a membrane were rarely reported in Japan. They are clearly in the low deformities. In the Workshop at Wingspread in U.S.A., rectal membraneous atresia was not classified. We hope the anomalies like this case will classified clearly.
日本小児外科学会の論文
1991-12-20