An imperforate anus is a birth defect that happens while your baby is still growing in the womb. It occurs more often in boys than girls. The rectum, bladder, and vagina of a female baby with an imperforate anus sometimes share one large opening. This opening is called a cloaca. The condition develops in the womb during the fifth to seventh weeks of pregnancy. The cause is unknown.
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Anal atresia can be divided into high type and low type depending on the relationship between the distal rectal pouch and the puborectalis muscle. Prenatal diagnosis of anal atresia is very challenging. Direct findings include no PAMC perianal muscular complex and no target sign hypoechoic anal sphincter and echogenic anal mucosa. A visible echogenic anal mucosa excludes all cases of high atresia and most cases of low atresia, with the exception of the mildest cases with only a thin membrane covering the anal opening. A year-old gravida 1, para 0 woman was referred to our clinic because of abnormal findings of fetal ultrasound. In addition to colon dilatation 1.
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Also see Overview of Congenital Gastrointestinal Anomalies. In anal atresia, the tissue closing the anus may be several centimeters thick or just a thin membrane of skin. A fistula often extends from the anal pouch to the perineum or the urethra in males and to the vagina, the fourchette, or, rarely, the bladder in females.
This leaflet is to help you understand what Anal Artesia is, what tests you need and the implication of being diagnosed with Anal Artesia for your baby and your family. Anal atresia is a congenital abnormality in which there is no opening at the end of the digestive tract, where the anus normally is. It is part of a wider spectrum of abnormalities involving the anus and last part of the bowel, the rectum.