Case Summary
- Eight-year-old female. No history of illness in her family.
- History of chronic constipation, without treatment.
- She came to the colorectal center at 8 yo.
- Physical examination found an anorectal malformation, rectovestibular fistula, and vaginal agenesis.
- She went to the OR for a colostomy with distal mucus fistula.
- We did studies to search for another malformation.
- In the physycal examination, we found a lumbar scoliosis, bad perineum, incontinence associated dermatitis.
- X-ray showed abnormal sacrum, with sacral ratio in 0.3.
- In the MRI, reported a tethered cord.
- Distal colostogram showed the rectum under the sacrum, reachable through a posterior sagittal incision.
- US and CT reported absent uterus and a bilateral double excretory system.
Patient Case Discussion
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THP Source:
