RT Book, Section A1 Calkins, Casey M. A1 Sood, Manu R. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7038247 T1 Chapter 415. Congenital Anomalies of the Anorectum T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7038247 RD 2024/04/24 AB The spectrum of anorectal malformations (ARMs) ranges from anal stenosis to persistent cloaca. The term imperforate anus applies to most of these malformations because the anal canal is malformed and there is no visible normal anal opening onto the perineum. Anorectal anomalies occur in as many as one in 4000 live births and are slightly more common in boys. The most common defect is an imperforate anus with a fistula between the distal anorectum and the urethra in boys, or the vestibule in girls. The risk of a second child with an anorectal malformation is approximately 1%.