PSARP

Case Summary

Case Summary

Case Summary

Case Summary

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.

Presentation Summary

• 1-year male patient presents for evaluation.
• Born with anorectal malformation suspected to be recto-urinary fistula.
• Colostomy was placed on day of life 2.

• Term fetus in a Latin American country has a prenatal ultrasound that identifies an abdominal cystic mass.
• Cystic abdominal mass was first identified on the 16-wk ultrasound and has been consistently growing.
• Medical team was concerned about fetal peritonitis or lymphatic malformation based on the large size of this mass.