TITLE:
Infectious Pneumonitis Revealing an Anal Imperforation with Recto-Vaginal Fistula: A Case of Late Discovery in a 70-Year-Old Woman
AUTHORS:
Sall Assane, Bâ Massamba, Diajhete Rokhaya, Adja Awa Coumba Sarr, Ba Dalahata, Degboevi Vahana, Toure Elsa Maimouna, Coumé Mamadou
KEYWORDS:
Anorectal Malformation, Elderly Subject, Dakar, Senegal
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.11 No.1,
January
13,
2023
ABSTRACT: Introduction: Anorectal malformations concern all anomalies of the terminal part of the digestive tract often diagnosed in the perinatal period. We report a clinical case of anorectal malformation discovered incidentally and very late at 70 years, following complications from the infectious syndrome. Observation: 70-year-old female patient, housewife, uneducated was referred to the hospital for acute febrile, cough, and mental confusion associated with chronic pelvic pain. The genito-anal examination showed an anal imperforation associated with a recto-vaginal fistula complicated by cervico-vaginitis. The evolution during hospitalization was favorable, but the patient died at home, 3 weeks after discharge. Conclusion: The discovery of anorectal malformation in adults is rare and exceptional in an elderly subject. This case demonstrates once again the challenges encountered in developing countries on the socio-economic and health levels.