Illustrative Cases
Gastroschisis Challenges North and South: Challenges in the North
Updates in Diagnosis and Management of Hyperinsulinism and Neonatal Hypoglycemia: Surgery for Hyperinsulinism
Fetal Surgery Editor
N. Scott Adzick, M.D.
Surgeon-in-Chief
Reconstructing the Spectrum of Cloacal Anomalies
Andrea Bischoff, M.D., with Children's Hospital Colorado, describes the anatomic variations of cloaca and the different surgical maneuvers that are required for successful reconstruction of each type. Cloaca is a condition in which the urethra, vagina, and rectum are fused together as a common channel that opens as a single perineal orifice.
Key Surgical Steps for the "Peña Pull-Through" Procedure
To support the medical education of colorectal and urogenital providers, Alberto Peña, M.D., with Children's Hospital Colorado, describes the now universally accepted surgical method that he developed for treating anorectal malformations. Posterior sagittal anorectoplasty (PSARP) surgery involves a number of steps. PSARP, also known as the Peña Pull-Through Procedure, transformed the surgical treatment of anorectal malformations.
International Colorectal Web Meeting: Bowel Management of Fecal Incontinence
Patient Cases
Female Patient, Age 3 Months, with Unusual Cloaca after Prior Right Transverse Colostomy (Hendren Patient Case)
- Female patient, age 3 mo, with unusual cloaca
- She had a prior right transverse colostomy
4-Month-Old Female Patient With Complex Cloaca and Prior Colostomy
- 4-month-old girl referred in 1990 with a complex cloaca and prior colostomy at birth.
2-Year-Old Female Patient with Total Urinary Incontinence and Loop Colostomy (Hendren Patient Case)
- 2-year-old girl seen in 1979 with total urinary incontinence and a loop colostomy performed at birth in South America
18-Month-Old Female Patient with Unusual Cloaca (Hendren Patient Case)
- 18-month-old female patient with unusual cloaca
- Colostomy for imperforate anus and thoracotomy for esophageal atresia at birth