International Colorectal Web Meetings

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.

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.

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.

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.

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.

Patient Cases

Video Summary of Cases Presented

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.

Case Summary

• 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.

• 28-yr-old pregnant woman at 30 wk gestational age presents for evaluation because of prenatal ultrasound of fetus with concern for abdominal tumor.
• Ultrasound was repeated 6 wk after the initial ultrasound. On repeat ultrasound at 36 wk, the mass is noted to be in the pelvis, posterior to the bladder identified to be hydrocolpos.
• MRI was obtained to help identify the anatomy.