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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

Under the microscope, the accessory foot was found to comprise ossified and nonossified bony structures, and the ossified bone had marrow space (A: H&E, ×20). Skeletal muscle bundles, vascular structures, and fat were found to cover the bones (B: H&E, ×40).
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Figure 5: Under the microscope, the accessory foot was found to comprise ossified and nonossified bony structures, and the ossified bone had marrow space (A: H&E, ×20). Skeletal muscle bundles, vascular structures, and fat were found to cover the bones (B: H&E, ×40).

Mentions: Upon examination of the gross anatomy of the excised structure, the accessory limb had the appearance of a well-formed foot. However, only 4 toes were observed. These toes included nails and were curved toward the sole of the foot (Fig. 4A, B). Several under-developed bones were observed when the accessory limb was dissected, including bones that had the appearance of phalanges, metatarsals, cuneiforms bone, talus bone, and malleolus bone (Fig. 4C). On microscopic observation, these bones were found to comprise undeveloped bony structures and cartilage, and included bone marrow (Fig. 5A). In addition, the bones were surrounded by body fat, muscles, and blood vessels (Fig. 5B). However, neuroglial cells and excess tissues, such as harmatoma, were not observed under the microscope. The patient's recovery course was uneventful, but the shape of buttock remained asymmetric (Fig. 6). During the follow-up period of 8 months, she was found to be in a good condition, and could defecate well without constipation.


An accessory limb with an imperforate anus.

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

Under the microscope, the accessory foot was found to comprise ossified and nonossified bony structures, and the ossified bone had marrow space (A: H&E, ×20). Skeletal muscle bundles, vascular structures, and fat were found to cover the bones (B: H&E, ×40).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Under the microscope, the accessory foot was found to comprise ossified and nonossified bony structures, and the ossified bone had marrow space (A: H&E, ×20). Skeletal muscle bundles, vascular structures, and fat were found to cover the bones (B: H&E, ×40).
Mentions: Upon examination of the gross anatomy of the excised structure, the accessory limb had the appearance of a well-formed foot. However, only 4 toes were observed. These toes included nails and were curved toward the sole of the foot (Fig. 4A, B). Several under-developed bones were observed when the accessory limb was dissected, including bones that had the appearance of phalanges, metatarsals, cuneiforms bone, talus bone, and malleolus bone (Fig. 4C). On microscopic observation, these bones were found to comprise undeveloped bony structures and cartilage, and included bone marrow (Fig. 5A). In addition, the bones were surrounded by body fat, muscles, and blood vessels (Fig. 5B). However, neuroglial cells and excess tissues, such as harmatoma, were not observed under the microscope. The patient's recovery course was uneventful, but the shape of buttock remained asymmetric (Fig. 6). During the follow-up period of 8 months, she was found to be in a good condition, and could defecate well without constipation.

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