Malformation anorectale et complexe sphinctérien anorectal
Amira Ayachi, Mechaal Mourali
The Pan African Medical Journal. 2016;25:195. doi:10.11604/pamj.2016.25.195.10870

Create an account  |  Sign in
African Case Studies Case studies in Public health
"Better health through knowledge sharing and information dissemination "

Images in medicine

Malformation anorectale et complexe sphinctérien anorectal

Cite this: The Pan African Medical Journal. 2016;25:195. doi:10.11604/pamj.2016.25.195.10870

Received: 04/10/2016 - Accepted: 15/10/2016 - Published: 25/11/2016

Mots clés: Diagnostic anténatal, malformation anorectale, défaut de fermeture du tube neural

© Amira Ayachi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/25/195/full

Corresponding author: Amira Ayachi, Service de Gynécologie et Obstétrique, CHU Bougatfa, Bizerte, Université Tunis El Manar, Tunisie (benmrad.amira@yahoo.fr)


Malformation anorectale et complexe sphinctérien anorectal

Anorectal malformation and anal sphincter complex

Amira Ayachi1,&, Mechaal Mourali1

 

1Service de Gynécologie et Obstétrique, CHU Bougatfa, Bizerte, Université Tunis El Manar, Tunisie

 

 

&Auteur correspondant
Amira Ayachi, Service de Gynécologie et Obstétrique, CHU Bougatfa, Bizerte, Faculté de Médecine de Tunis, Université El Manar, Tunisie

 

 

English abstract

We report the case of a patient referred to our prenatal diagnostic unit due to the suspicion of spina bifida at 24 weeks gestation. Morphological assessment revealed rachischisis associated with Chiari type II, single kidney and anorectal malformation. The non-visualization of the anal sphincter complex (ASC) on ultrasound led to the diagnosis of suspected high-type anorectal malformation (A,B et C). Ultrasound examination showed neither limbs abnormalities of the limbs, nor cardiopathies and signs of atresia of the esophagus. Amniotic fluid karyotype showed no fetal abnormalities (46, XY). Therapeutic abortion was requested by parents after explanation of the fetal prognosis showing the absence of the anus (D). Fetopathological examination allows to confirm the diagnosis of high-type or low-type anorectal malformation associated to the absence of ASC and its related abnormalities.


Key words: Prenatal diagnosis, anorectal malformations, neural tube defect



Image en médecine    Down

Il s’agit d’une patiente adressée à notre unité de diagnostic anténatal pour suspicion de spina bifida à un terme de 22 semaines d’aménorrhée. Le bilan morphologique trouvait un rachischisis associé à un Chiari II, un rein unique et une malformation anorectale. L’absence de visualisation du complexe sphinctérien anorectal (CSAR) à l’échographie faisait suspecter une malformation anorectale haute (A, B, C). L’examen échographique ne montrait ni anomalies des membres, ni cardiopathies, ni signes en faveurs d’une atrésie de l’œsophage. Un caryotype sur liquide amniotique a été réalisé et le résultat ne montrait pas d’anomalies (46, XY). Une interruption de la grossesse a été demandée par les parents après explication du pronostic fœtal montrant une absence d’anus (D). L’examen fœtopathologique permet de confirmer la nature haute ou basse de la malformation anorectale par l’absence de CSAR et les anomalies associées.

Figure 1: A) absence de visualisation du complexe sphinctérien anorectal; B) image échogène linéaire au niveau du périnée; C) ébauche de pli fessier; D) absence d’anus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 27 (May - August 2017)

Article tools

PDF in process
Log in to comment
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite


This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

Popular articles in Images in medicine

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved