Gynecological anomalies in patients with anorectal malformations
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Jul 2019 · 1 min read
In brief
In brief
Retrospective MRI study of 63 female ARM patients reveals 50% have müllerian anomalies, with significantly higher rates in complex malformations (80% in cloaca) versus simple types (22%). Uterus didelphys and longitudinal vaginal septum are most common; vaginal anomalies predict concurrent uterine defects in all cases.
Written by the GCMD Library team from the article.
Abstract
Purpose
The association of gynecological anomalies in all anorectal malformations (ARM) is firmly established. Our goal is to study this pathology in our patients to focus attention to this important issue.
Methods
Retrospective study of female patients operated for ARM and who underwent magnetic resonance imaging in our center. The type of malformation, the presence and type of vaginal, uterine, tubaric and urological anomalies were studied.
Results
63 patients were included: 34.9% cloaca, 28.6% vestibular and 12.7% perineal. Half of patients had some type of müllerian anomaly; 19 vaginal, most frequent being the longitudinal vaginal septum (66.7%); 30 had uterine alterations, most frequent being the uterus didelphys (60%). Eighty percent of patients with complex ARM (cloaca, exstrophy) presented some type of gynecological malformation compared to 21.8% found in simple ARM (stenosis, perineal, vestibular) (p < 0.001). Vaginal anomalies are associated with a uterine anomaly in 100% of cases. Conversely, patients with uterine anomalies have concurrent vaginal anomaly in 63.3% of cases.
Conclusion
Screening for gynecological anomalies is indicated in all patients with ARM. We recommend a vaginal examination in any girl with ARM during definitive repair and a subsequent MRI during follow-up. Collaboration with a gynecologist is essential.