{"entities":{"Q46325":{"pageid":36696,"ns":120,"title":"Item:Q46325","lastrevid":180137,"modified":"2026-08-13T14:49:51Z","type":"item","id":"Q46325","labels":{"mul":{"language":"mul","value":"LB17.0"},"pt-br":{"language":"pt-br","value":"Malforma\u00e7\u00f5es anorretais"},"en":{"language":"en","value":"Anorectal malformations"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Malforma\u00e7\u00f5es anorretais (MAR) s\u00e3o defeitos cong\u00eanitos (devidos a altera\u00e7\u00f5es no desenvolvimento embrion\u00e1rio do intestino posterior ou proctodeu) em que o \u00e2nus e o reto (a extremidade inferior do trato digestivo) n\u00e3o se desenvolvem adequadamente. Ocorrem em aproximadamente 1 em 5.000 nascidos vivos. Elas compreendem um amplo espectro de doen\u00e7as, que podem afetar meninos e meninas, e envolvem o \u00e2nus e o reto distais, assim como os tratos urin\u00e1rio e genital. V\u00e1rias anormalidades podem ocorrer, incluindo as seguintes: Uma membrana pode estar presente sobre a abertura anal; O reto pode n\u00e3o se conectar ao \u00e2nus (\u00e2nus imperfurado); O reto pode se conectar a uma parte do trato urin\u00e1rio ou do sistema reprodutor por meio de uma passagem anormal chamada f\u00edstula. A classifica\u00e7\u00e3o das MAR \u00e9 baseada principalmente na posi\u00e7\u00e3o da bolsa retal em rela\u00e7\u00e3o ao m\u00fasculo puborretal, na presen\u00e7a ou aus\u00eancia de f\u00edstulas e nos tipos e localiza\u00e7\u00f5es das f\u00edstulas. A classifica\u00e7\u00e3o a seguir \u00e9 de acordo com o n\u00edvel do fundo de saco retal atr\u00e9sico em rela\u00e7\u00e3o \u00e0 linha pubococc\u00edgea (o ponto de refer\u00eancia radiol\u00f3gico da borda superior ou do m\u00fasculo elevador do \u00e2nus)."},"en":{"language":"en","value":"Anorectal malformations (ARMs) are birth defects (due to alterations in embryo development of hindgut or proctodeum) where the anus and rectum (the lower end of the digestive tract) do not develop properly. They occur in approximately 1 in 5000 live births. These comprise a wide spectrum of diseases, which can affect boys and girls, and involve the distal anus and rectum as well as the urinary and genital tracts. Several abnormalities can occur, including the following: A membrane may be present over the anal opening; The rectum may not connect to the anus (imperforate anus); The rectum may connect to a part of the urinary tract or the reproductive system through an abnormal passage called a fistula. The classification of ARMs is mainly based on the position of the rectal pouch relative to the puborectal sling, the presence or absence of fistulas, and the types and locations of the fistulas. The following classification is according to the level of the atretic rectal cul-de-sac with respect to the pubococcygeal line (the radiological landmark for the upper border or the levator ani muscle)."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"bf0a879f5e1fdbec1efa1c7a985ede9adfc409ef","datavalue":{"value":"https://id.who.int/icd/entity/942572025","type":"string"},"datatype":"url"},"type":"statement","id":"Q46325$9FB83A7A-C612-46CD-BF6E-7933AC388638","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"a51667d19aac9ea4f21c7a8aee03c74529cf3d52","datavalue":{"value":"CID11:LB17.0","type":"string"},"datatype":"string"},"type":"statement","id":"Q46325$A0750928-36F8-4343-95BE-ABC567C5EB7B","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"89b9b1299487b8aa1780bf5dc2cd9a0153cc84cd","datavalue":{"value":"dki-india-LB17.0","type":"string"},"datatype":"string"},"type":"statement","id":"Q46325$2A607D04-F600-4300-9AA1-B67AB68A3E51","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q46325$2049C4C4-0715-45D0-8E95-07B79784FC91","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q46325$E639F53B-2997-446B-B926-3F3005785971","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q46325$ECA1FA49-A5FD-4826-9821-9F77B83EF21F","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"74068b5b1d7e556b897f46863848147cd9d7ffc0","datavalue":{"value":{"entity-type":"item","numeric-id":22051,"id":"Q22051"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q46325$20A13A70-76D3-47AF-8D0B-ECC4CA63B5EF","rank":"normal"}]},"sitelinks":{}}}}