- 35yo F presents to CHCO VAC 11/2018
- Purple stain to right lateral thigh, RLE overgrowth, blebbing to foot, right buttock, groin
- Evaluated at multiple facilities throughout lifetime and received multiple diagnoses
- Has undergone several surgical excisions of bothersome “hemangiomas”
Browse THP Patient Cases
Ann Kulungowski, M.D., and Taizo Nakano, M.D.
Children's Hospital Colorado, Aurora, CO
Expert Guest Panelists
Case 1. 2-Year-Old Male Patient with Anorectal Malformation without Evidence of a Fistula
Porfirio Rivera Altamirano, M.D.; Hospital San Bartolomé, Lima Peru; and Hospital para el Niño, Universidad Nacional, Autonoma de Mexico, Mexico City, Mexico
- 9-yr-old male patient born with trisomy 21, hyperthyroidism, and Hirschsprung disease presents for evaluation.
- He underwent Soave pull-through at 9 mo.
- He was initially evaluated by Gastroenterology for “constipation and overflow pseudo-incontinence” with a plan to administer rectal Botox.
- Colorectal Surgery was invited to examine the patient while in the operating room.
- 28-yr-old pregnant woman at 30 wk gestational age presents for evaluation because of prenatal ultrasound of fetus with concern for abdominal tumor.
- Ultrasound was repeated 6 wk after the initial ultrasound. On repeat ultrasound at 36 wk, the mass is noted to be in the pelvis, posterior to the bladder identified to be hydrocolpos.
- MRI was obtained to help identify the anatomy.