The Pattern and Outcome of Management of Acquired Anorectal fistulas in Children at a semi-urban Teaching Hospital

Abstract

Background: Acquired anorectal fistulas are a severe cause for parental concerns, and they pose considerable challenges in their management.

Aim: The aim of this study is to document the pattern of presentation and the management outcome for the cases of acquired anorectal fistula in children seen in our centre.

Method: A retrospective review of the thirteen (13) case notes of the patients with acquired anorectal fistulas managed from  2008-2011 was done. The information retrieved included; the age at presentation, sex, aetiology of the fistula, site of the fistula, the duration of the fistula to the presentation, weight loss, and other associated medical conditions, history of a developmental milestone,
type of intervention, the outcome of management, HIVstatus of patients and parents.

Results: There were two males and eleven females; eight of whom were HIV positive. Five fistulas were due to each to faecal  impaction, birth trauma, trauma from rectal enema procedure, iatrogenic following posterior sagittal ano-rectoplasty (PSARP) and
sexual abuse respectively.

Conclusion: The fistula healing outcome for acquired anorectal fistula in HIV positive cases was weak compared to the trauma-related groups.

Keywords: Pattern, outcome, anorectal, fistula, HIV, Trauma, acquired.