Two Male Patient Case Reports
Case Summary
Case Overview, Part 1
Pediatric Surgery
1-Day-Old Female Patient with Recto-vaginal Tear During Cesarean Section
Case Summary
- 1-day-old female patient presented for evaluation.
- She was born via cesarean section.
- Prenatal history included gestation diabetes.
4-Year-Old Male Patient with 3-month History of Intermittent Abdominal Pain
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.
18-Month-Old Male Patient Born with Omphalocele, Anorectal Malformation, Ileal Atresia, and Cecum Duplication Referred for Treatment of Short Bowel Syndrome
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.
8-Month-Old Female Patient Born with a Cloaca Described as a "2-mm Common Channel"
Case Summary
- 8-mo-old patient is referred for evaluation in the Colorectal Center.
- She was born with a cloaca described as “2 cm common channel”.
- She underwent diverting colostomy on day of life 2 but the mucous fistula had closed.
- Patient had a normal sacrum and normal kidneys.
11-Month-Old Female Patient with Scabies and Imperforate Anus with Fistula Discovered During Hospitalization
Case Summary
- Patient presents for evaluation. She is an 11-mo-old female patient from Panama. She had an out of hospital delivery. She has no surgical history. Mother is currently pregnant again. Patient is exclusively breast fed.
- She had loose stool daily and her weight is 6.1 kg.
Male Patient Born with Several Congenital Anomalies
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.
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.
7-Year-Old Female Patient Born with Recto-perineal Fistula
Case Summary
- 7-year-old presents for evaluation with a history of recto-perineal fistula that was repaired as a newborn.
- Her medical records noted that she had a urethral, bladder, and vaginal duplication.
- She presents for evaluation because of persistent stool accidents.
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.