Male Patient

2-Month-Old Male Patient with Stool and Urine Coming from Penoscrotal Hypospadias

Case Summary

  • 2-month-old male presents for evaluation. He was born at 37 weeks gestation.
  • He was noted to have urine and stool coming out from a penoscrotal hypospadias.
  • Prenatally, he was diagnosed with solitary right kidney.
  • He also had VSD, hemivertebrae, hydronephrosis of the right kidney with megaureter and agenesis of the left kidney.

9-Month-Old Male Patient with Anorectal Malformation without Fistula

Case Summary

  • 9-mo-old male presents for evaluation. He was diagnosed with anorectal malformation without fistula and underwent a colostomy at birth.
  • Family sent a photo of the colostomy and of the perineum. Purulent secretions were visible and draining from the perineum. The family cleansed the perineum and then took a photo of the anatomy to send to the physician.

9-Year Old-Male Patient Born with Trisomy 21, Hyperthyroidism, and Hirschsprung Disease

  • 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.

10-Year-Old Male Presents with Severe Left-sided Abdominal Pain and Discharge from Anus

  • Ten-year-old male presents to the ED with severe left sided abdominal pain and discharge from the anus.
  • He is febrile and tachycardic. He is admitted and ultimately diagnosed with Shigella colitis with overflow diarrhea into the efferent limb of his loop transverse colostomy. Also, he was a Syrian refugee who immigrated to Canada. No prior medical records available.