Male Patient

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.

Case Summary

• 4-yr-old male patient originally presented for evaluation on day of life 15 due to abdominal distention, vomiting, and suppository dependence.
• On initial presentation, he was admitted to the hospital.
• Abdominal radiographs showed severe bowel dilation.

• 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.

• 1-month-old male patient presents for evaluation.
• Mother was 17 yr old when patient was born.
• On second day of life, he passed meconium, but had recurrent abdominal distension. He was breastfed.
• He was referred for evaluation because of abdominal distension.

• 8-mo-old male presents for evaluation. He was born with anorectal malformation s/p colostomy at birth. Baby presented with fever for 6 d, abdominal distension, bilious emesis, and no colostomy output for 3 d.

• Male patient presents for evaluation.
• Born in 2016 and diagnosed with Hirschsprung disease and underwent enterostomy (unclear if ileostomy or colostomy) performed after birth.

• 1-year male patient presents for evaluation.
• Born with anorectal malformation suspected to be recto-urinary fistula.
• Colostomy was placed on day of life 2.

• 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.

• Term fetus in a Latin American country has a prenatal ultrasound that identifies an abdominal cystic mass.
• Cystic abdominal mass was first identified on the 16-wk ultrasound and has been consistently growing.
• Medical team was concerned about fetal peritonitis or lymphatic malformation based on the large size of this mass.

• Male patient was first evaluated on day 2 of life in the NICU due to abdominal distention, mild bilious emesis, and failure to pass meconium.
• On exam, he had distended abdomen, rectal exam with explosive stools and gas.
• Abdominal radiograph showed colonic distention.