<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1281</journal-id>
<journal-title><![CDATA[Revista Cirugía del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Urug.]]></abbrev-journal-title>
<issn>1688-1281</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Cirugía del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12812024000101307</article-id>
<article-id pub-id-type="doi">10.31837/cir.urug/8.1.15</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estenosis congénita del canal anal. Caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Congenital stenosis of the anal canal. Clinical case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estenose congênita do canal anal. Caso clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carro]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salsamendi]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puglia]]></surname>
<given-names><![CDATA[Paul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giannini]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalario Pereira Rossell Clínica Quirúrgica Pediátrica ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospitalario Pereira Rossell Clínica Quirúrgica Pediátrica ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospitalario Pereira Rossell Clínica Quirúrgica Pediátrica ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospitalario Pereira Rossell Clínica Quirúrgica Pediátrica ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12812024000101307&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12812024000101307&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12812024000101307&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La estenosis del canal anal es una forma infrecuente de malformación anorrectal, representando el 1%. Existen pocos casos registrados sobre esta patología.1 Se trata de una entidad donde el ano presenta una estenosis de longitud variable, se encuentra normo-implantado, de apariencia normal,rodeado de complejo esfinteriano adecuado. Se debe descartar la presencia de malformaciones asociadas, cardiovasculares, renales, osteoarticulares, y especialmente se debe evaluar la presencia demasa pre-sacra, pudiendo presentarse teratomas, mielomeningocele anterior, entre otras. El tratamiento quirúrgico consiste en resecar el sector estenótico, realizar anoplastia respetando el complejo esfinteriano mediante un abordaje posterior, sin disección de la cara anterior del recto Debido a la presencia de un complejo esfinteriano circundante normal, el pronóstico funcional intestinal de estos pacientes es excelente. Presentamos el primer caso clínico en nuestro país de un paciente con estenosis del canal anal, su forma de presentación, tratamiento quirúrgico y evolución.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Anal canal stenosis is a rare form of anorectal malformation, representing 1%. There are few registered cases and there is little literature on this entity. It is an entity where the anus presents a stenosis of variable length, is normo-implanted, with a normal appearance, surrounded by an adequate sphincter complex. The presence of associated cardiovascular, renal, and osteoarticular malformations must be ruled out, and especially the presence of a presacral mass must be evaluated, which may present teratomas, anterior myelomeingocele, among others. Surgical treatment consists of respecting the sphincter complex through a posterior approach, without dissection of the anterior face of the rectum. Due to the presence of a normal surrounding sphincter complex, the intestinal functional prognosis of these patients is excellent. We present the first clinical case in our setting of a patient with stenosis of the anal canal, its form of presentation, surgical treatment and evolution.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A estenose do canal anal é uma forma rara de malformaçãoanorretal, representando 1%. Existempoucos casos registados e hápouca literatura sobre esta entidade. É umaentidade onde o ânusapresentaestenose de comprimentovariável, é normo-implantado, de aspecto normal, circundado por um complexo esfincterianoadequado. Deve-se descartar a presença de malformações cardiovasculares, renais e osteoarticulares associadas e, principalmente, avaliar a presença de massapré-sacral, que pode apresentar teratomas, mielomeingocele anterior, entre outros. O tratamentocirúrgico consiste em respeitar o complexo esfincteriano por via posterior, semdissecção da face anterior do reto. Devido à presença de um complexo esfincteriano circundante normal, o prognóstico funcional intestinal destes pacientes é excelente. Apresentamos o primeiro caso clínico em nossomeio de paciente comestenose do canal anal, sua forma de apresentação, tratamentocirúrgico e evolução.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[canal anal]]></kwd>
<kwd lng="es"><![CDATA[malformación anorrectal]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[coloproctología]]></kwd>
<kwd lng="en"><![CDATA[anal canal]]></kwd>
<kwd lng="en"><![CDATA[anorectal malformation]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[coloproctology]]></kwd>
<kwd lng="pt"><![CDATA[canal anal]]></kwd>
<kwd lng="pt"><![CDATA[malformação anorretal]]></kwd>
<kwd lng="pt"><![CDATA[cirurgia]]></kwd>
<kwd lng="pt"><![CDATA[coloproctologia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Falco]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Chavarría]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Malformaciones ano-rectales]]></article-title>
<source><![CDATA[Cir. Urug]]></source>
<year>1979</year>
<volume>49</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>94-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shehata]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[ElSawaf]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kotb]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transanalrceto-anak anastomosis for treatment of rectal atresia: a review of 4 cases]]></article-title>
<source><![CDATA[BMC Pediatric]]></source>
<year>2023</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>46</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weledji]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sinju]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delay in diagnosis of congenital anal stenosis]]></article-title>
<source><![CDATA[J. Pediatr. Surg. Case Rep]]></source>
<year>2016</year>
<volume>6</volume>
<page-range>5-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reck]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Skerritt]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Levitt]]></surname>
<given-names><![CDATA[MA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rectal atresia and anal stenosis: the difference in the operative technique for these two distinct congenital anorectal malformations]]></article-title>
<source><![CDATA[Tech Coloproctol]]></source>
<year>2016</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>249-54</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soumalainen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wester]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Koivusalo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rintala]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Pakarinen]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital funnel anus in children: associated anomalies, surgical management and outcome]]></article-title>
<source><![CDATA[Pediatric Surg Int]]></source>
<year>2007</year>
<volume>23</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1167-70</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rintala]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Jarvinen]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenital Funnel Anus]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>1996</year>
<volume>31</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1308-10</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bischoff]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgical treatment of colorectal problems in children.]]></source>
<year>2015</year>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amerstorfer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Schmiedeke]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Samuk]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Sloots]]></surname>
<given-names><![CDATA[CEJ]]></given-names>
</name>
<name>
<surname><![CDATA[van Rooij]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Jenetzky]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences- The ARM-Net Consortium Consensus]]></article-title>
<source><![CDATA[Children (Basel)]]></source>
<year>2022</year>
<volume>9</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>831</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mahomed]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Driver]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Nanthakumaran]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gardner]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Youngson]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Congenita funnel anus: investigation and novel management strategy]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2004</year>
<volume>39</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1119-21</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sadler]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
</person-group>
<source><![CDATA[Langman's medical embryology]]></source>
<year>2022</year>
<publisher-name><![CDATA[Lippincott Williams &amp; Wilkins]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kiely]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Chopra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Corkery]]></surname>
<given-names><![CDATA[JJ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delayed diagnosis of congenital anal stenosis]]></article-title>
<source><![CDATA[Arch Dis Child]]></source>
<year>1979</year>
<volume>54</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>68-70</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brem]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Beaver]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Colombian]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Zinreich]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Scherer]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Carson]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neonatal Diagnosis of a Presacral Mass in the Presence of Congenital Anal Stenosis and Partial Sacral Agenesis.]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>1989</year>
<volume>24</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1076-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halleran]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Sanchez]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
<name>
<surname><![CDATA[Rentea]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmad]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Weaver]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Reck]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of the Heineke-Mikulicz anoplasty for skin level postoperative anal strictures and congenital anal stenosis]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2019</year>
<volume>54</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>118-22</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hamrick]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Eradi]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bischoff]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Louden]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Levitt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rectal atresia and stenosis: unique anorectal malformations]]></article-title>
<source><![CDATA[J Pediatr Surg.]]></source>
<year>2012</year>
<volume>47</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1280-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
