Page 36 - Paediatric Surgery Lounge 2020
P. 36

Anorectal malformation in male

































                         A                                        B
                                                                                                                       No obvious perineal opening.


                 Recto-cutaneous fistula with                                                                          Colostomy is required at newborn
                 meconium(A) and catheter inserted                                                                     period.  Distal loopgram can be

                 (B) , open anterior to sphincteric                                                                    performed later to define the

                 muscle                                                                                                anatomy (recto-vesical or recto-
                                                                                                                       urethral fistula)



               Mild form (single-staged operation)                                                                                 Severe form (multi-staged operation)
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