This is failure of the anal opening to canalize and is the commonest cause of intestinal obstruction in the newborn. It presents with a wide variation in anatomical anomalies.
There is failure to pass meconium, or may pass meconium per urethra or vagina.
- Check for other anomalies
- Surgical management best at specialized facility even for apparently simple malformations.
- Detailed investigations will be performed.
- Definitive surgical intervention, which may range from minor anuloplasty (dilatation, incision) to more complicated pull through procedures at the appropriate facility.
- Continued dilatation at home
- Sitz baths
- Colostomy closure if needed
- Counselling and attending to associated conditions.