{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:40:01Z","timestamp":1756366801186,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Anorectal malformations are usually diagnosed at birth, and the diagnosis is usually readily apparent in boys and girls by direct inspection of the perineal region. However, some of the less complex lesions, often referred to as \u2018low lesions\u2019, such as rectovestibular fistula in girls, may not be diagnosed at birth. These children are able to pass meconium, and it is only when the narrow fistula fails to pass formed stool later in infancy or childhood does the child become symptomatic. It is important to emphasise that the diagnosis of these defects should be made during neonatal predischarge examination. Such a delayed diagnosis may change their management, complicate surgical repair and may contribute to both functional and psychological problems for the patient and family.<\/jats:p>","DOI":"10.1136\/bcr-2012-007456","type":"journal-article","created":{"date-parts":[[2012,12,19]],"date-time":"2012-12-19T00:41:52Z","timestamp":1355877712000},"page":"bcr2012007456","source":"Crossref","is-referenced-by-count":1,"title":["Meconium is not enough: look for the hole!"],"prefix":"10.1136","volume":"2012","author":[{"given":"Basher","family":"Aldeiri","sequence":"first","affiliation":[{"name":"Department of General Surgery, Great Ormond Street Hospital, UCL Institute of Child Health, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navroop Singh","family":"Johal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Great Ormond Street Hospital, UCL Institute of Child Health, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"De Coppi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Great Ormond Street Hospital, UCL Institute of Child Health, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,12,18]]},"reference":[{"key":"2025082800090062000_2012.dec18_1.bcr2012007456.1","unstructured":"Keily EM Pena A . Imperforate anus. In: O'Neill JA Jr Rowe MI Grosfeld JL Fonkalsrud EW Coran AG , eds. Pediatr Surgery. 5th edn. St Louis: Mosby Yearbook, 1998:1425\u201348."},{"key":"2025082800090062000_2012.dec18_1.bcr2012007456.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00491-8"},{"key":"2025082800090062000_2012.dec18_1.bcr2012007456.3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.5.e68"},{"key":"2025082800090062000_2012.dec18_1.bcr2012007456.4","first-page":"825","article-title":"Late presentation of a patient with an anorectal malformation (ARM)","volume":"20","author":"Bokhari","year":"2010","journal-title":"J Coll Physicians Surg Pak"},{"key":"2025082800090062000_2012.dec18_1.bcr2012007456.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.10.092"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:09:11Z","timestamp":1756364951000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,18]]},"references-count":5,"alternative-id":["10.1136\/bcr-2012-007456"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007456","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,12,18]]}}}