Fetal Extraperitoneal Rectal Perforation in a Preterm Baby

Introduction

Fetal extraperitoneal rectal perforation (FERP) is a rare condition, with only 16 cases reported in the literature [1] [2] [3]. Classically, it presents with buttock swelling which results from meconium extravasations to the buttocks [1]. We reported a case of FERP which was confirmed in the immediate postnatal period. Surgical management was initiated early, with an excellent outcome.

References

• 1 Pitcher GJ, Davies MR, Bowley DM. et al . Fetal extraperitoneal rectal perforation: a rare neonatal emergency.  J Pediatr Surg. 2009;  44 1405-1409
• 2 Sundararajan L, Patel D, Jawaheer G. Antenatal rectal perforation presenting in the neonate.  Pediatr Surg Int. 2008;  24 601-603
• 3 Davies MR, Cywes S, Rode H. Prenatal perforation of the extraperitoneal part of the rectum, associated with a developmental defect of the pelvic floor.  Z Kinderchir. 1984;  39 (4): 271-273
• 4 Casaccia G, Giorlandino C, Catalano OA. et al . Prenatal rectal perforation: an unsuspected cause of isolated ascites.  J Pediatr Surg. 2006;  26 717-719
• 5 Delarue A, Garcia-Meric P, Martin C. et al . Antenatal rupture of a diverticular rectal duplication with neonatal perineal fistulization.  Pediatr Surg Int. 1998;  13 288-289
• 6 Mitsudo SM, Boley SJ, Rosenzweig MJ. et al . Extraperitoneal pelvic meconium extravasation in a newborn infant.  J Pediatr. 1983;  103 598-600

Correspondence