Case Overview:
- 18-month-old female patient referred with total urinary incontinence
- Prior colostomy at birth
- Soave type rectal pullthrough at 1 year, and later colostomy closure.
Follow Up:
In 1988, at age 9 years
- Patient was found to have hypertension of 180/110
- Workup disclosed severe stenosis of proximal segment of left renal artery
- That was excised and an end-to-end anastamosis of the normal adjacent splenic artery established normal flow to her solitary kidney
- Although her blood pressure became normal, she soon had a cerebral stroke, which resulted in Moyamoya disease treated in 1989 by right synangiosis and, in 1990, the same on the left cerebrum.
In 2011, at age 30 years
- Bowel control normal with help of enema washout every other day
- Urine control normal, but wore one pad per day as a “safety measure.”
THP Source: