anus: review of a sixteen year experience with 146 patients.
In addition, none of the reported cases was associated with internal malformation, except one with imperforate
anus and unilateral multicystic kidney dysplasia.
Abnormalities in development of the female genital tract occurs in a variety of forms and each one is distinctive.1 Imperforate
hymen occurs 1:1000 newborn girls,2 microperforate hymen is less common than imperforate
Case of Pallister-Killian syndrome with imperforate
Two of the most challenging are obstructive hemivagina with ipsilateral renal agenesis (OHVIRA) (Figure 1a) and agenesis of the lower vagina (Figure 1b), the latter of which must be differentiated most commonly from imperforate
hymen (Figure 1c).
 ARMs are a spectrum of congenital anomalies leading to an imperforate
anus with or without a fistula that opens into the male urinary tract or the female genital tract, or onto the perineum.
The malformed tricuspid valve may be incompetent, stenotic, or rarely, imperforate
. Pregnant patients with Ebstein anomaly become a challenge for the physician in terms of management.
Another case with imperforate
anus, double bladder, and duplicated penis, reported by Mirshemirani et al.
Association with skeletal (radial club hand, hemivertebrae, spina bifida, scoliosis, and congenital hip dislocation), cardiopulmonary, and gastrointestinal anomalies (imperforate
anus and esophageal atresia with tracheoesophageal fistula) , along with various genetic syndromes, has been also described .
External examination of the fetus revealed anencephaly with craniorachischisis totalis (Figure 3(a)), fused lower limbs (Figure 3(a)), nine toes with a fused bilateral thumb (Figure 3(a)), absence of the right upper limb (Figure 3(c)) and external genitalia, and imperforate
anus, almost coinciding with the observation on the 3D sonographic rendering images.
anus: long-and short-term outcome," Seminars in Pediatric Surgery, vol.