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Case Reports
. 2021 Feb 25;15(1):96.
doi: 10.1186/s13256-021-02717-5.

15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report

Felix Oyania  1   2 , Meera Kotagal  3 , Martin Situma  4
Affiliations
Case Reports

15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report

Felix Oyania et al. J Med Case Rep. .

Abstract

Background: Teenage and late presentation of anorectal malformations are not uncommon in developing world. Some of the reasons for late presentation include but not limited to illiteracy, poverty, lack of awareness, and limited trained pediatric surgeons. In rural areas, neonates with ARMs are considered cursed and are marginalized.

Case: 15-Year-old African girl (a munyankole by tribe in Uganda) from western Uganda presented at 15 years of life with colostomy and uncorrected anorectal malformation. Never went to school due to social stigma.

Conclusion: Due to limited number of trained pediatric surgeons in most of African Countries, many children in addition to living with a colostomy or untreated malformation, may also be undiagnosed with chronic constipation. Improved awareness and advocacy would promote early presentation and treatment.

Keywords: Anorectal malformation; Bowel function; Krickenbeck; Teenage presentation.

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Conflict of interest statement

All authors declared no conflict of interest.

Figures

Fig. 1
Fig. 1
Before posterior sagittal anorectoplasty
Fig. 2
Fig. 2
The Neoanus before colostomy closure
See this image and copyright information in PMC

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