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DOI: 10.1055/s-2007-963642
© Georg Thieme Verlag KG Stuttgart · New York
Ultrasonography of Imperforate Anus in Neonate: an Approach Correlated with Current Surgical Concepts
Einsatz der Ultraschalls in der präoperativen Diagnostik und chirurgischen Therapieplanung bei Neugeborenen mit AnalatresiePublication History
received: 25.4.2007
accepted: 16.9.2007
Publication Date:
22 August 2008 (online)

Zusammenfassung
Neugeborene mit einer Analatresie stellen für den behandelnden Arzt eine große Herausforderung dar. Entscheidend für die Wahl der richtigen chirurgischen Vorgehensweise ist eine exakte Klassifizierung der Höhe der Atresie in Relation zum Levatormuskel. Mit der transperinealen Sonografie ist eine Klassifizierung der Analatresie anhand der für die einzelnen Typen charakteristischen Anatomie der Fistel zwischen dem Rektumblindsack und dem Urogenitalsystem möglich. Somit bietet sich diese Methode als rasch verfügbare, nichtinvasive Entscheidungshilfe für den behandelnden Chirurgen an. Wir beschreiben dieses Verfahren und präsentieren beispielhaft Ultraschallbilder von verschiedenen Typen einer Analatresie.
Abstract
Neonates with an imperforate anus pose a challenge to those responsible for diagnosing and treating the congenital abnormality. Early assessment and accurate diagnosis of the type of imperforate anus are essential for determining the appropriate surgical procedure. Transperineal ultrasonography (US) can be used to identify the internal fistula and to define the type of imperforate anus. Thus, US represents an useful noninvasive imaging modality for assisting in the diagnosis and appropriate management of this disease. We will describe this imaging technique and present different types of illustrative scans of an imperforate anus.
Key words
anus - ultrasound 2D - malformation - fistula - treatment planning
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Dr. Hans Peter Haber
Department of Paediatrics, University of Tübingen
Hoppe-Seyler-Str. 1
72076 Tübingen
Germany
Phone: ++ 49/70 71/2 98 13 45
Fax: ++ 49/70 71/29 53 28
Email: peter.haber@med.uni-tuebingen.de