Newborn Male Patient with Recto-perineal Fistula

Case Summary

• Newborn male presents with recto-perineal fistula.
• This is a tiny recto-perineal fistula, which would not be able to be dilated.
• Cross table lateral film shows a short distance to the anal impression.
• Radiograph at the outside hospital showed significant colonic dilation.
• Surgical repair was performed with posterior sagittal approach.
• Anoplasty was performed.

Takeaways

This is a case where operating on the perineal fistula would be required because of the small diameter of the opening.