Treatment Strategies | W. Hardy Hendren Pediatric Surgical and Urological Education Foundation

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

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 1. 4-Year-Old Male Patient: Evolution of Treatment
Karla Santos-Jasso, M.D., M.Sc.; Ph.D.; National Institute of Pediatrics, Mexico City, Mexico

Moderators

Ann Kulungowski, MD, and Taizo Nakano, MD
Children's Hospital Colorado, Aurora, CO

Guest Presenters

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.