A child with imperforate anus for twelve years: a case report of neglect and exploitation

Amal N. Vadysinghe; Deepthi Edussuriya; Medhani Wickramasinghe; Ravindra Attapattu

doi:10.5114/amsik.2017.71454

eISSN: 1689-1716
ISSN: 0324-8267

Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology

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2/2017
vol. 67

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abstract:

Case report

A child with imperforate anus for twelve years: a case report of neglect and exploitation

Amal N. Vadysinghe

¹

,

Deepthi Edussuriya

¹

,

Medhani Wickramasinghe

²

,

Ravindra Attapattu

³

Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
Teaching Hospital Kandy, Kandy, Sri Lanka
District Hospital, Rikillagaskada, Kandy, Sri Lanka

Arch Med Sąd Kryminol 2017; 67 (2): 134–141

DOI: https://doi.org/10.5114/amsik.2017.71454

Online publish date: 2017/11/21

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We report a unique and rare case of child neglect and exploitation and similar case was not found. An infant, born with an imperforate anus, underwent surgery for a temporary colostomy on the day of birth. Surgery for reversal of colostomy with reconstruction was planned at one month of age. However, the guardian did not ensure that the child attended for this procedure. Subsequently, at the age of 12 years, the child was presented to the emergency unit with an irreducible prolapsed colostomy and a life threatening acute abdomen. Emergency laparotomy and colostomy reversal were performed with anal reconstruction. The child had features of gross neglect and abuse in the form of deprivation of essential surgical care, vaccination, and education. He was used for the purpose of begging for the financial benefit of his guardian and others.

This is a case of neglect and exploitation of a child with imperforate anus and it emphasizes the failures of the health system to manage and follow-up children with congenital defects born to families with a poor socio-economic background.

keywords:

A child with imperforate anus for twelve years: a case report of neglect and exploitation

Amal N. Vadysinghe 1 , Deepthi Edussuriya 1 , Medhani Wickramasinghe 2 , Ravindra Attapattu 3

child abuse, neglect, exploitation, imperforate anus

Amal N. Vadysinghe

¹

,

Deepthi Edussuriya

¹

,

Medhani Wickramasinghe

²

,

Ravindra Attapattu

³