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) in anal atresia, the tissue closing the anus may be several centimeters thick or just a thin membrane of skin. Anal atresia definition the anus is either not present or it is in the wrong place. In boys with high anal atresia, there may be a channel ( fistula ) connecting the large intestine to either the urethra (which delivers urine from the bladder) or the bladder itself. This disorder is frequently associated with other congenital anomalies such as vacterl (vertebral anomalies, anal atresia, cardiac malformations, tracheoesophageal fistula, esophageal atresia, renal anomalies and radial aplasia, and limb anomalies). Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (vacterl association) in a patient with partial bicornuate uterus and distal vaginal atresia a case report. Anal atresia is a congenital abnormality in which there is no opening at the end of the digestive tract, where the anus normally is. It is part of a wider spectrum of abnormalities involving the anus and last part of the bowel, the rectum. anal atresia congenital absence of an opening at the bottom end of the intestinal tract. anal atresia (imperforate anus) is a malformation of the intestinal tract (about one out of every 6,000 births in the united states) with varying degrees of congenital absence of the anus and lower end of the bowel. An imperforate anus or anorectal malformations (arms) are birth defects in which the rectum is malformed. Arms are a spectrum of different congenital anomalies which vary from fairly minor lesions to complex anomalies. The cause of arms is unknown the genetic basis of these anomalies is very complex because of their anatomical variability. In 8 of patients, genetic factors are clearly associated with arms. Atresia ani consists of four types of anomalies of worsening severity. Type i is congenital anal stenosis without imperforate anus (photo 1). congenital heart defects defects in the trachea (windpipe) tracheomalacia, or esophagus esophageal atresia missing arm bones, an extra finger or toe, thumb abnormalities other defects in the digestive tract down syndrome guest post by jennifer.