was read the article
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Universidad Pública de Navarra, Pamplona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Apéndice cutáneo perineal y malformación anorrectal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 892 "Ancho" => 2007 "Tamanyo" => 137952 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Colostogram showing the rectal pouch without any fistulas, probably due to insufficient pressure during its performance. (B) Resected finger-shaped skin appendage (*) and appearance of a drop of liquid under its original location after distal stoma irrigation (arrow). (C) Pore intubated with a dilation balloon catheter.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 3-month-old boy that underwent colostomy at 12 h post birth in another hospital for an anorectal malformation (ARM) presented with a perineal cutaneous finger-shaped appendage (3 mm long, 1 mm diameter). Sometimes, after mucous fistula irrigations, traces of mucus appeared in the diaper. Perineal ultrasound confirmed that the rectum was 3 mm from the perineal skin, with no evidence of fistulas on the colostogram (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The distal stoma was irrigated under pressure and a drop of fluid issued from the cutaneous appendage through a submillimetre pore underneath it (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, C). Electrostimulation showed that this opening was at the centre of the sphincter complex. Hence, treatment was limited to dilatation and four cardinal sutures with progressive anal dilations, starting with 8 mm Hegar dilators and increasing the size until an anal calibre of 14 mm was achieved, upon which the colostomy was closed at age 7 months (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A–C, Supplementary Video 1). At 20 months of age, the patient has bowel control and no difficulty passing stools.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Anorectal malformations may be associated with cutaneous stigmas that are clinically and therapeutically relevant.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A thorough physical examination is essential to select the most appropriate treatment,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> as in some cases a primary repair without colostomy or anorectoplasty can be performed in the neonatal period.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore, it is paramount not to rush to perform a colostomy, waiting at least 24–48 h after birth, to avoid iatrogenesis.</p><span id="sec1005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect3005">Funding sources</span><p id="par2020" class="elsevierStylePara elsevierViewall">None to declare</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec1005" "titulo" => "Funding sources" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 892 "Ancho" => 2007 "Tamanyo" => 137952 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Colostogram showing the rectal pouch without any fistulas, probably due to insufficient pressure during its performance. (B) Resected finger-shaped skin appendage (*) and appearance of a drop of liquid under its original location after distal stoma irrigation (arrow). (C) Pore intubated with a dilation balloon catheter.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 726 "Ancho" => 2007 "Tamanyo" => 143876 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Neoanus after the first 6 mm balloon dilatation and (B) cardinal sutures at the mucocutaneous junction. (C) Appearance after 5 months of dilations.</p>" ] ] 2 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 18299157 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anorectal malformation: the etiological factors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Wang" 1 => "L. Li" 2 => "W. Cheng" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00383-015-3685-0" "Revista" => array:6 [ "tituloSerie" => "Pediatr Surg Int" "fecha" => "2015" "volumen" => "31" "paginaInicial" => "795" "paginaFinal" => "804" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25899933" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complete VACTERL evaluation is needed in newborns with rectoperineal fistula" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.D. Rollins" 1 => "K. Russell" 2 => "K. Schall" 3 => "S. Zobell" 4 => "R.F. Castillo" 5 => "L. Eldridge" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpedsurg.2013.09.039" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2014" "volumen" => "49" "paginaInicial" => "95" "paginaFinal" => "98" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24439589" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of the Heineke-Mikulicz anoplasty for skin level postoperative anal strictures and congenital anal stenosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.R. Halleran" 1 => "A. Vilanova" 2 => "R.M. Rentea" 3 => "H. Ahmad" 4 => "L. Weaver" 5 => "C. Reck" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpedsurg.2018.10.006" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2019" "volumen" => "54" "paginaInicial" => "118" "paginaFinal" => "122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30366721" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000009800000005/v1_202305080100/S234128792300073X/v1_202305080100/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000009800000005/v1_202305080100/S234128792300073X/v1_202305080100/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792300073X?idApp=UINPBA00005H" ]
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