Case Summary
- Newborn male presents with recto-perineal fistula.
- This is a tiny recto-perineal fistula, which would not be able to be dilated.
- Cross table lateral film shows a short distance to the anal impression.
- Radiograph at the outside hospital showed significant colonic dilation.
Case Summary
- 16-yr-old patient presents to the emergency department 5 d after a bike accident where he suffered an anorectal trauma.
- On physical exam, he had skin and the anoderm on the right side with damage of the anal canal with skin and fat tissue necrosis.
Case Summary
- 10-yr-old female patient presents for evaluation.
- Her history included that he presented with a right colon perforation at 7 wk of age.
- She underwent partial colon resection and ileostomy.
- Incorrectly diagnosed with Hirschsprung disease.
Case Summary
- 16-yr-old presents for evaluation because of fecal impaction.
- History of constipation from 6 mo of age.
- He has been to the Emergency Department multiple times for disimpaction.
- He did not have appropriate follow up.
Case Summary
- 3-yr-old presents for evaluation. He was born and was noted to have abdominal distention, inability to pass stool in first 48 h of life and feeding intolerance.
- On day of life 12, he underwent a transanal pull-through at an outside hospital. He had not had a rectal biopsy prior to that procedure.
Case Summary
Case Overview, Part 1
Case Summary
- 4-yr-old male presents to the emergency department with a history of 3 mo of intermittent abdominal pain.
- He also has a history of pinworms.
- After a bowel movement, he reported he had severe anal pain with a visible protrusion from the anus.
Case Summary
- 18-mo-old male patient presented for evaluation. He was born at 37 wk with an omphalocele, anorectal malformation, ileal atresia, and cecum duplication.
Case Summary
- Male patient born with several congenital anomalies, including pathologic deletion of 7q36, chordee with left hydrourethronephrosis, low lying conus (L5), cleft palate and low set ears.
- Genetic malformation was identified first and then he was screened for other anomalies.
- Sacral defect was also identified.
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.
