Ultrasound of the distal pouch in infants with imperforate anus

James S. Donaldson*, C. Thomas Black, Marleta Reynolds, Joseph O. Sherman, Arnold Shkolnik

*Corresponding author for this work

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Optimal surgical management of the newborn with imperforate anus depends on accurate determination of the level of the rectal pouch. Eighteen children with imperforate anus were evaluated with ultrasound. The distance from the end of the pouch to the perineum was measured. Ultrasound correctly predicted the level of the distal pouch in all 12 children who had confirmation of the pouch level by surgery or by distal contrast stomagrams. Six children have not yet had definitive surgery. Five children with a pouch to perineum (P-P) distance of ≤10 mm and three of six children with a P-P distance of 10 to 15 mm had successful correction by a simple perineal anoplasty. Three of six children with a P-P distance of 10 to 15 mm and all of those (seven) with a P-P distance >15 mm were diverted with colostomies.

Original languageEnglish (US)
Pages (from-to)465-468
Number of pages4
JournalJournal of pediatric surgery
Volume24
Issue number5
DOIs
StatePublished - May 1989

Keywords

  • Imperforate anus

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Ultrasound of the distal pouch in infants with imperforate anus'. Together they form a unique fingerprint.

  • Cite this