array:24 [
  "pii" => "S234128792300073X"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2023.03.003"
  "estado" => "S300"
  "fechaPublicacion" => "2023-05-01"
  "aid" => "3369"
  "copyright" => "Asociación Española de Pediatría"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "An Pediatr (Barc). 2023;98:391-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S169540332200251X"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2022.09.021"
      "estado" => "S300"
      "fechaPublicacion" => "2023-05-01"
      "aid" => "3369"
      "copyright" => "Asociación Española de Pediatría"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "An Pediatr (Barc). 2023;98:391-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">IM&#193;GENES EN PEDIATR&#205;A</span>"
        "titulo" => "Ap&#233;ndice cut&#225;neo perineal y malformaci&#243;n anorrectal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "391"
            "paginaFinal" => "392"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Perineal cutaneous appendix and anorectal malformation"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 726
                "Ancho" => 2007
                "Tamanyo" => 139400
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Neoano tras la primera dilataci&#243;n con bal&#243;n de 6 mm &#40;A&#41; y suturas cardinales en la uni&#243;n mucocut&#225;nea &#40;B&#41;&#46; Aspecto tras 5 meses de dilataciones &#40;C&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Julio C&#233;sar Moreno-Alfonso, Ada Molina Caballero, Alberto P&#233;rez Mart&#237;nez"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Julio C&#233;sar"
                "apellidos" => "Moreno-Alfonso"
              ]
              1 => array:2 [
                "nombre" => "Ada"
                "apellidos" => "Molina Caballero"
              ]
              2 => array:2 [
                "nombre" => "Alberto"
                "apellidos" => "P&#233;rez Mart&#237;nez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S234128792300073X"
          "doi" => "10.1016/j.anpede.2023.03.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792300073X?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332200251X?idApp=UINPBA00005H"
      "url" => "/16954033/0000009800000005/v1_202305032020/S169540332200251X/v1_202305032020/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2341287923000753"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2022.08.016"
    "estado" => "S300"
    "fechaPublicacion" => "2023-05-01"
    "aid" => "3367"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:393-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "Congenital lateral soft palate fistulas&#58; a forgotten diagnosis&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "393"
          "paginaFinal" => "394"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "F&#237;stulas laterales cong&#233;nitas del paladar blando&#46; &#191;un diagn&#243;stico olvidado&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 759
              "Ancho" => 1005
              "Tamanyo" => 136583
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bilateral congenital fistulas in the lateral soft palate&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jacinta Mendes, Nuno Vilas Boas, Catarina Gomes"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jacinta"
              "apellidos" => "Mendes"
            ]
            1 => array:2 [
              "nombre" => "Nuno Vilas"
              "apellidos" => "Boas"
            ]
            2 => array:2 [
              "nombre" => "Catarina"
              "apellidos" => "Gomes"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403322002314"
        "doi" => "10.1016/j.anpedi.2022.08.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403322002314?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000753?idApp=UINPBA00005H"
    "url" => "/23412879/0000009800000005/v1_202305080100/S2341287923000753/v1_202305080100/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341287923000765"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2022.06.012"
    "estado" => "S300"
    "fechaPublicacion" => "2023-05-01"
    "aid" => "3306"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:389-90"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "Newborn with elbow lump"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "389"
          "paginaFinal" => "390"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Reci&#233;n nacido con tumoraci&#243;n en el codo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 3513
              "Ancho" => 1741
              "Tamanyo" => 280098
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0015"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Magnetic resonance imaging of the lesion&#46;</p> <p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Fat-suppressed proton density-weighted T1-weighted image&#46; &#40;B&#41; Gradient echo T2-weighted image&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "&#193;lvaro Cobreros-P&#233;rez, Eva Pueyo-Agudo, Laura Almendro-Garc&#237;a, Mar&#237;a Jurado-Tabares"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "&#193;lvaro"
              "apellidos" => "Cobreros-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Eva"
              "apellidos" => "Pueyo-Agudo"
            ]
            2 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Almendro-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Jurado-Tabares"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S169540332200162X"
        "doi" => "10.1016/j.anpedi.2022.06.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332200162X?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000765?idApp=UINPBA00005H"
    "url" => "/23412879/0000009800000005/v1_202305080100/S2341287923000765/v1_202305080100/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Perineal cutaneous appendage and anorectal malformation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "391"
        "paginaFinal" => "392"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Julio C&#233;sar Moreno Alfonso, Ada Molina Caballero, Alberto P&#233;rez Mart&#237;nez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Julio C&#233;sar"
            "apellidos" => "Moreno Alfonso"
            "email" => array:1 [
              0 => "juliomoreno.md@gmail.com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ada"
            "apellidos" => "Molina Caballero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Alberto"
            "apellidos" => "P&#233;rez Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Cirug&#237;a Pedi&#225;trica&#44; Hospital Universitario de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Doctoral School of Navarre&#46; Universidad P&#250;blica de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Ap&#233;ndice cut&#225;neo perineal y malformaci&#243;n 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">&#40;A&#41; Colostogram showing the rectal pouch without any fistulas&#44; probably due to insufficient pressure during its performance&#46; &#40;B&#41; Resected finger-shaped skin appendage &#40;&#42;&#41; and appearance of a drop of liquid under its original location after distal stoma irrigation &#40;arrow&#41;&#46; &#40;C&#41; Pore intubated with a dilation balloon catheter&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 3-month-old boy that underwent colostomy at 12&#8239;h post birth in another hospital for an anorectal malformation &#40;ARM&#41; presented with a perineal cutaneous finger-shaped appendage &#40;3&#8239;mm long&#44; 1&#8239;mm diameter&#41;&#46; Sometimes&#44; after mucous fistula irrigations&#44; traces of mucus appeared in the diaper&#46; Perineal ultrasound confirmed that the rectum was 3&#8239;mm from the perineal skin&#44; with no evidence of fistulas on the colostogram &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46;</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 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; C&#41;&#46; Electrostimulation showed that this opening was at the centre of the sphincter complex&#46; Hence&#44; treatment was limited to dilatation and four cardinal sutures with progressive anal dilations&#44; starting with 8&#8239;mm Hegar dilators and increasing the size until an anal calibre of 14&#8239;mm was achieved&#44; upon which the colostomy was closed at age 7 months &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#8211;C&#44; Supplementary Video 1&#41;&#46; At 20 months of age&#44; the patient has bowel control and no difficulty passing stools&#46;</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&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A thorough physical examination is essential to select the most appropriate treatment&#44;<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&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore&#44; it is paramount not to rush to perform a colostomy&#44; waiting at least 24&#8211;48&#8239;h after birth&#44; to avoid iatrogenesis&#46;</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&#58;<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">&#40;A&#41; Colostogram showing the rectal pouch without any fistulas&#44; probably due to insufficient pressure during its performance&#46; &#40;B&#41; Resected finger-shaped skin appendage &#40;&#42;&#41; and appearance of a drop of liquid under its original location after distal stoma irrigation &#40;arrow&#41;&#46; &#40;C&#41; Pore intubated with a dilation balloon catheter&#46;</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">&#40;A&#41; Neoanus after the first 6&#8239;mm balloon dilatation and &#40;B&#41; cardinal sutures at the mucocutaneous junction&#46; &#40;C&#41; Appearance after 5 months of dilations&#46;</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&#58; the etiological factors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Wang"
                            1 => "L&#46; Li"
                            2 => "W&#46; 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&#46;D&#46; Rollins"
                            1 => "K&#46; Russell"
                            2 => "K&#46; Schall"
                            3 => "S&#46; Zobell"
                            4 => "R&#46;F&#46; Castillo"
                            5 => "L&#46; 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&#46;R&#46; Halleran"
                            1 => "A&#46; Vilanova"
                            2 => "R&#46;M&#46; Rentea"
                            3 => "H&#46; Ahmad"
                            4 => "L&#46; Weaver"
                            5 => "C&#46; 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"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Perineal cutaneous appendage and anorectal malformation
Apéndice cutáneo perineal y malformación anorrectal
Julio César Moreno Alfonsoa,b,
Corresponding author
juliomoreno.md@gmail.com

Corresponding author.
, Ada Molina Caballeroa, Alberto Pérez Martíneza
a Cirugía Pediátrica, Hospital Universitario de Navarra, Pamplona, Spain
b Doctoral School of Navarre. Universidad Pública de Navarra, Pamplona, Spain
Read
1824
Times
was read the article
649
Total PDF
1175
Total HTML
Share statistics
 array:24 [
  "pii" => "S234128792300073X"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2023.03.003"
  "estado" => "S300"
  "fechaPublicacion" => "2023-05-01"
  "aid" => "3369"
  "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:391-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S169540332200251X"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2022.09.021"
      "estado" => "S300"
      "fechaPublicacion" => "2023-05-01"
      "aid" => "3369"
      "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:391-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">IM&#193;GENES EN PEDIATR&#205;A</span>"
        "titulo" => "Ap&#233;ndice cut&#225;neo perineal y malformaci&#243;n anorrectal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "391"
            "paginaFinal" => "392"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Perineal cutaneous appendix and anorectal malformation"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 726
                "Ancho" => 2007
                "Tamanyo" => 139400
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Neoano tras la primera dilataci&#243;n con bal&#243;n de 6 mm &#40;A&#41; y suturas cardinales en la uni&#243;n mucocut&#225;nea &#40;B&#41;&#46; Aspecto tras 5 meses de dilataciones &#40;C&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Julio C&#233;sar Moreno-Alfonso, Ada Molina Caballero, Alberto P&#233;rez Mart&#237;nez"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Julio C&#233;sar"
                "apellidos" => "Moreno-Alfonso"
              ]
              1 => array:2 [
                "nombre" => "Ada"
                "apellidos" => "Molina Caballero"
              ]
              2 => array:2 [
                "nombre" => "Alberto"
                "apellidos" => "P&#233;rez Mart&#237;nez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S234128792300073X"
          "doi" => "10.1016/j.anpede.2023.03.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792300073X?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332200251X?idApp=UINPBA00005H"
      "url" => "/16954033/0000009800000005/v1_202305032020/S169540332200251X/v1_202305032020/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2341287923000753"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2022.08.016"
    "estado" => "S300"
    "fechaPublicacion" => "2023-05-01"
    "aid" => "3367"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:393-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "Congenital lateral soft palate fistulas&#58; a forgotten diagnosis&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "393"
          "paginaFinal" => "394"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "F&#237;stulas laterales cong&#233;nitas del paladar blando&#46; &#191;un diagn&#243;stico olvidado&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 759
              "Ancho" => 1005
              "Tamanyo" => 136583
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bilateral congenital fistulas in the lateral soft palate&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jacinta Mendes, Nuno Vilas Boas, Catarina Gomes"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jacinta"
              "apellidos" => "Mendes"
            ]
            1 => array:2 [
              "nombre" => "Nuno Vilas"
              "apellidos" => "Boas"
            ]
            2 => array:2 [
              "nombre" => "Catarina"
              "apellidos" => "Gomes"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403322002314"
        "doi" => "10.1016/j.anpedi.2022.08.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403322002314?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000753?idApp=UINPBA00005H"
    "url" => "/23412879/0000009800000005/v1_202305080100/S2341287923000753/v1_202305080100/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341287923000765"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2022.06.012"
    "estado" => "S300"
    "fechaPublicacion" => "2023-05-01"
    "aid" => "3306"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2023;98:389-90"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
      "titulo" => "Newborn with elbow lump"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "389"
          "paginaFinal" => "390"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Reci&#233;n nacido con tumoraci&#243;n en el codo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 3513
              "Ancho" => 1741
              "Tamanyo" => 280098
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0015"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Magnetic resonance imaging of the lesion&#46;</p> <p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Fat-suppressed proton density-weighted T1-weighted image&#46; &#40;B&#41; Gradient echo T2-weighted image&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "&#193;lvaro Cobreros-P&#233;rez, Eva Pueyo-Agudo, Laura Almendro-Garc&#237;a, Mar&#237;a Jurado-Tabares"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "&#193;lvaro"
              "apellidos" => "Cobreros-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Eva"
              "apellidos" => "Pueyo-Agudo"
            ]
            2 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Almendro-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Jurado-Tabares"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S169540332200162X"
        "doi" => "10.1016/j.anpedi.2022.06.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332200162X?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000765?idApp=UINPBA00005H"
    "url" => "/23412879/0000009800000005/v1_202305080100/S2341287923000765/v1_202305080100/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Perineal cutaneous appendage and anorectal malformation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "391"
        "paginaFinal" => "392"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Julio C&#233;sar Moreno Alfonso, Ada Molina Caballero, Alberto P&#233;rez Mart&#237;nez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Julio C&#233;sar"
            "apellidos" => "Moreno Alfonso"
            "email" => array:1 [
              0 => "juliomoreno.md@gmail.com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ada"
            "apellidos" => "Molina Caballero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Alberto"
            "apellidos" => "P&#233;rez Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Cirug&#237;a Pedi&#225;trica&#44; Hospital Universitario de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Doctoral School of Navarre&#46; Universidad P&#250;blica de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Ap&#233;ndice cut&#225;neo perineal y malformaci&#243;n 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">&#40;A&#41; Colostogram showing the rectal pouch without any fistulas&#44; probably due to insufficient pressure during its performance&#46; &#40;B&#41; Resected finger-shaped skin appendage &#40;&#42;&#41; and appearance of a drop of liquid under its original location after distal stoma irrigation &#40;arrow&#41;&#46; &#40;C&#41; Pore intubated with a dilation balloon catheter&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 3-month-old boy that underwent colostomy at 12&#8239;h post birth in another hospital for an anorectal malformation &#40;ARM&#41; presented with a perineal cutaneous finger-shaped appendage &#40;3&#8239;mm long&#44; 1&#8239;mm diameter&#41;&#46; Sometimes&#44; after mucous fistula irrigations&#44; traces of mucus appeared in the diaper&#46; Perineal ultrasound confirmed that the rectum was 3&#8239;mm from the perineal skin&#44; with no evidence of fistulas on the colostogram &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46;</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 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; C&#41;&#46; Electrostimulation showed that this opening was at the centre of the sphincter complex&#46; Hence&#44; treatment was limited to dilatation and four cardinal sutures with progressive anal dilations&#44; starting with 8&#8239;mm Hegar dilators and increasing the size until an anal calibre of 14&#8239;mm was achieved&#44; upon which the colostomy was closed at age 7 months &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#8211;C&#44; Supplementary Video 1&#41;&#46; At 20 months of age&#44; the patient has bowel control and no difficulty passing stools&#46;</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&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A thorough physical examination is essential to select the most appropriate treatment&#44;<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&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore&#44; it is paramount not to rush to perform a colostomy&#44; waiting at least 24&#8211;48&#8239;h after birth&#44; to avoid iatrogenesis&#46;</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&#58;<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">&#40;A&#41; Colostogram showing the rectal pouch without any fistulas&#44; probably due to insufficient pressure during its performance&#46; &#40;B&#41; Resected finger-shaped skin appendage &#40;&#42;&#41; and appearance of a drop of liquid under its original location after distal stoma irrigation &#40;arrow&#41;&#46; &#40;C&#41; Pore intubated with a dilation balloon catheter&#46;</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">&#40;A&#41; Neoanus after the first 6&#8239;mm balloon dilatation and &#40;B&#41; cardinal sutures at the mucocutaneous junction&#46; &#40;C&#41; Appearance after 5 months of dilations&#46;</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&#58; the etiological factors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Wang"
                            1 => "L&#46; Li"
                            2 => "W&#46; 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&#46;D&#46; Rollins"
                            1 => "K&#46; Russell"
                            2 => "K&#46; Schall"
                            3 => "S&#46; Zobell"
                            4 => "R&#46;F&#46; Castillo"
                            5 => "L&#46; 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&#46;R&#46; Halleran"
                            1 => "A&#46; Vilanova"
                            2 => "R&#46;M&#46; Rentea"
                            3 => "H&#46; Ahmad"
                            4 => "L&#46; Weaver"
                            5 => "C&#46; 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"
]
Article information
ISSN: 23412879
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 10 11 21
2024 October 65 23 88
2024 September 53 33 86
2024 August 65 59 124
2024 July 63 28 91
2024 June 71 41 112
2024 May 63 32 95
2024 April 56 34 90
2024 March 59 21 80
2024 February 121 39 160
2024 January 50 21 71
2023 December 69 21 90
2023 November 44 30 74
2023 October 38 32 70
2023 September 36 39 75
2023 August 36 28 64
2023 July 52 26 78
2023 June 42 28 70
2023 May 106 33 139
2023 April 76 70 146
Show all

Follow this link to access the full text of the article

Idiomas
Anales de Pediatría (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?