{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:58:19Z","timestamp":1760151499612,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Anorectal necrosis is an uncommon lethal disease in children, characterized by necrosis of the mucosa of the anus and rectum. The difference between anorectal necrosis and Fournier\u2019s gangrene is that anorectal necrosis does not affect the genital organs. The treatment for anorectal necrosis includes debridement of the anus, colostomy, and the use of broad-spectrum antibiotics. However, anorectal necrosis may lead to anal stricture, anal malfunction, or even acquired atresia of the anus. There is no consensus on the treatment for acquired imperforate anus. Herein, we report a case of a four-month-old boy with acquired imperforate anus complicated by anorectal necrosis. We describe our experience performing posterior sagittal anorectoplasty to reconstruct a neo-anus in such a rare case.<\/jats:p>","DOI":"10.3390\/children9040454","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T12:20:25Z","timestamp":1648038025000},"page":"454","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Sagittal Anorectoplasty for Acquired Imperforate Anus Complicated by Anorectal Necrosis: A Case Report"],"prefix":"10.3390","volume":"9","author":[{"given":"Yea-Ling","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Pediatrics, E-Da Dachang Hospital, No. 305, Dachang 1st Road, Sanmin District, Kaohsiung City 80794, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Tsun","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan"},{"name":"School of Medicine, I-Shou University, No. 8, Yi-Da Rd, Yan-Chao District, Kaohsiung City 82445, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Lun","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Pediatric Surgery, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yung-Ning","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan"},{"name":"School of Medicine, I-Shou University, No. 8, Yi-Da Rd, Yan-Chao District, Kaohsiung City 82445, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Chung","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan"},{"name":"School of Medicine, I-Shou University, No. 8, Yi-Da Rd, Yan-Chao District, Kaohsiung City 82445, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Jui","family":"Ko","sequence":"additional","affiliation":[{"name":"School of Medicine, I-Shou University, No. 8, Yi-Da Rd, Yan-Chao District, Kaohsiung City 82445, Taiwan"},{"name":"Department of Surgery, Division of Pediatric Surgery, E-Da Hospital, No. 1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.epsc.2018.11.006","article-title":"Pediatric ano-rectal necrosis","volume":"41","author":"Kremer","year":"2019","journal-title":"J. Pediatr. Surg. Case Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"101447","DOI":"10.1016\/j.epsc.2020.101447","article-title":"Fournier\u2019s gangrene in a two-month-old infant","volume":"57","author":"Palinrungi","year":"2020","journal-title":"J. Pediatr. Surg. Case Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1016\/j.jpedsurg.2008.09.014","article-title":"Fournier\u2019s gangrene in childhood: A report of 3 infant patients","volume":"43","author":"Ekingen","year":"2008","journal-title":"J. Pediatr. Surg."},{"key":"ref_4","first-page":"660","article-title":"Fournier\u2019s Gangrene in Children: Report on 7 Cases and Review of Literature","volume":"24","author":"Rouzrokh","year":"2014","journal-title":"Iran J. Pediatr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1002\/1097-0142(197301)31:1<149::AID-CNCR2820310120>3.0.CO;2-F","article-title":"Perianal and anorectal complications in leukemia","volume":"31","author":"Sehdev","year":"1973","journal-title":"Cancer"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1038\/sj.jp.7211733","article-title":"Case report: Perianal necrotizing fasciitis in a near-term neonate","volume":"27","author":"Christensen","year":"2007","journal-title":"J. Perinatol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1007\/s00384-006-0138-1","article-title":"Anorectal necrosis induced by injection sclerotherapy for hemorrhoids","volume":"22","author":"Elram","year":"2007","journal-title":"Int. J. Colorectal Dis."},{"key":"ref_8","first-page":"655","article-title":"Necrotizing anorectal and perineal infections","volume":"86","author":"Bubrick","year":"1979","journal-title":"Surgery"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/BF02617729","article-title":"Necrotizing anorectal lesions associated with Pseudomonas infection in leukemia","volume":"12","author":"Givler","year":"1969","journal-title":"Dis. Colon Rectum"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1053\/jinf.2000.0645","article-title":"Necrotizing proctitis caused by Streptococcus pyogenes","volume":"40","author":"Barnham","year":"2000","journal-title":"J. Infect."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1136\/pgmj.70.826.568","article-title":"The features and aetiology of Fournier\u2019s gangrene","volume":"70","author":"Efem","year":"1994","journal-title":"Postgrad. Med. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1097\/01.ta.0000195483.60187.41","article-title":"Acquired traumatic imperforate anus-management of a complex rectovesical fistula","volume":"62","author":"Kamat","year":"2007","journal-title":"J. Trauma"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/4\/454\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:41:58Z","timestamp":1760136118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/4\/454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,23]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["children9040454"],"URL":"https:\/\/doi.org\/10.3390\/children9040454","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2022,3,23]]}}}