This is a case of a 3-month-old patient with a perianal abscess and a rectoperineal fistula. The patient was referred due to an abscess. Upon examination, a tiny perineal fistula was found. All necessary screenings were ordererd and Dr. Andrea Bischoff performed a surgical procedure to the fistula tract and rectoperineal fistula.
A case was shared of a newborn with respiratory failure, seizures, and bowel distension, which led to a series of diagnostic tests and eventual surgery. Dr. Castrillon discussed the appropriate next steps for the patient, with most attendees agreeing on a leveling biopsy with a stoma. The discussion also covered the timing for the pull-through procedure, with most agreeing on when the patient is toilet trained for urine and accepts rectal irrigations.
17 April 2025 (Video Summary)