International Colorectal Web Meetings
- 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.
- 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, 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 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 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-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.
- 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.