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These ensure that the anal opening is large enough to allow stool to pass. Anal atresia definition the anus is either not present or it is in the wrong place. In boys with high anal atresia, there may be a channel ( fistula ) connecting the large intestine to either the urethra (which delivers urine from the bladder) or the bladder itself. Anal atresia is subdivided into high, intermediate, and low atresia based on the level of termination of the anorectum in relation to the levator ani muscle. In girls a colostomy is warranted barring demonstration of a perineal fistula. Here we described a 9-month-old female patient with hypotonia in all four limbs, developmental delay, and intellectual disability. 70 had good prognosis for continence (low fistula) and 30 poor prognosis (high fistula). 35 suffered from postoperative complications being the most frequent prolapse especially in high atresias. 85 had good rectal sensitivity, 15 had poor sensitivity that was directly related to incontinence. An imperforate anus or anorectal malformations (arms) are birth defects in which the rectum is malformed. Arms are a spectrum of different congenital anomalies which vary from fairly minor lesions to complex anomalies. The cause of arms is unknown the genetic basis of these anomalies is very complex because of their anatomical variability.

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