International Colorectal Web Meetings

Patient Cases from the International Colorectal Web Meetings

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.

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.

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.

9-Year Old-Male Patient Born with Trisomy 21, Hyperthyroidism, and Hirschsprung Disease

  • 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.