Comparison Between the Pouch-Perineum Distance in Neonates With a Low-Type Anorectal Malformation With and Without an Opened Fistula: Pitfall of Measuring the Pouch-Perineum Distance on Sonography.
Takahiro HosokawaHiroaki TakahashiYutaka TanamiYumiko SatoYujiro TanakaHiroshi KawashimaMayumi HosokawaEiji OgumaYoshitake YamadaPublished in: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine (2018)
The pouch-perineum distance is substantially longer in neonates with an ARM with an opened fistula than in those without an opened fistula. Caution should be exercised by the sonographic examiner in evaluating pouch-perineum distance in neonates with an opened fistula to prevent an incorrect surgical procedure based on misdiagnosis of the type of ARM.