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An accessory limb with an imperforate anus.

Park KB, Kim YM, Park JY, Chung ML, Jung YJ, Nam SH - Ann Surg Treat Res (2014)

Bottom Line: Congenital accessory limbs are very rare anomalies with many causative factors.We describe the case of a 1-day-old female neonate-born to a healthy, 27-year-old mother-who presented with an accessory limb (foot) attached to the buttock and an imperforate anus.We also provide a review of the relevant literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.

ABSTRACT
Congenital accessory limbs are very rare anomalies with many causative factors. We describe the case of a 1-day-old female neonate-born to a healthy, 27-year-old mother-who presented with an accessory limb (foot) attached to the buttock and an imperforate anus. We also provide a review of the relevant literature.

No MeSH data available.


Related in: MedlinePlus

A small round bone was located below the sacrum and a long bone was located below this small bone.
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Figure 3: A small round bone was located below the sacrum and a long bone was located below this small bone.

Mentions: Below the accessory limb, we found a small anal opening on the perineal body, which involved the anterior portion of the external sphincter. However, the urethral and vaginal openings were normal. The patient was diagnosed with imperforate anus with perineal fistula. She had no urogenital anomalies and cardiac anomalies, and small patent ductus arteriosus was noted. An infantogram indicated the presence of oval-shaped bony structures below the sacrum (Fig. 2). To evaluate the pelvic organs, associated anomalies, and the anatomy of accessory limb, we performed MRI. Moreover, no spinal anomaly was present, but an ossified oval-shaped bone, an ossified long bone, and a nonossified long bone around the limb were observed (Fig. 3). As these abnormal bones occupied the pelvic region, the rectum was deviated to the right side. Although the patient could still pass stools to some extent, a major portion of the anus was closed. We initially performed a cut-back anoplasty and excised the accessory limb. Two long bones, similar to the tibia and fibula, were found to connect the accessory limb to the buttock. Above these bones, another accessory bone, shaped like a femoral head, was located around the sacrum. All 3 bones were also excised along with the accessory limb.


An accessory limb with an imperforate anus.

Park KB, Kim YM, Park JY, Chung ML, Jung YJ, Nam SH - Ann Surg Treat Res (2014)

A small round bone was located below the sacrum and a long bone was located below this small bone.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4196430&req=5

Figure 3: A small round bone was located below the sacrum and a long bone was located below this small bone.
Mentions: Below the accessory limb, we found a small anal opening on the perineal body, which involved the anterior portion of the external sphincter. However, the urethral and vaginal openings were normal. The patient was diagnosed with imperforate anus with perineal fistula. She had no urogenital anomalies and cardiac anomalies, and small patent ductus arteriosus was noted. An infantogram indicated the presence of oval-shaped bony structures below the sacrum (Fig. 2). To evaluate the pelvic organs, associated anomalies, and the anatomy of accessory limb, we performed MRI. Moreover, no spinal anomaly was present, but an ossified oval-shaped bone, an ossified long bone, and a nonossified long bone around the limb were observed (Fig. 3). As these abnormal bones occupied the pelvic region, the rectum was deviated to the right side. Although the patient could still pass stools to some extent, a major portion of the anus was closed. We initially performed a cut-back anoplasty and excised the accessory limb. Two long bones, similar to the tibia and fibula, were found to connect the accessory limb to the buttock. Above these bones, another accessory bone, shaped like a femoral head, was located around the sacrum. All 3 bones were also excised along with the accessory limb.

Bottom Line: Congenital accessory limbs are very rare anomalies with many causative factors.We describe the case of a 1-day-old female neonate-born to a healthy, 27-year-old mother-who presented with an accessory limb (foot) attached to the buttock and an imperforate anus.We also provide a review of the relevant literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.

ABSTRACT
Congenital accessory limbs are very rare anomalies with many causative factors. We describe the case of a 1-day-old female neonate-born to a healthy, 27-year-old mother-who presented with an accessory limb (foot) attached to the buttock and an imperforate anus. We also provide a review of the relevant literature.

No MeSH data available.


Related in: MedlinePlus