Treatment of high imperforate anus with large omphalocele in a baby boy
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Updated: Sep 29, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Wu Wenhua1, Tan Jianzhong, Qui Yuhong
1Department of Pediatric Surgery, Shenzhen Woman and Children's Hospital, People's Republic of China.
Insights
Synchronous treatment of high imperforate anus and large omphalocele presents surgical challenges. This case study details successful nonoperative omphalocele management alongside primary posterior sagittal anorectoplasty for imperforate anus in a neonate.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Congenital Anomalies
Background:
- Synchronous high imperforate anus and large omphalocele is a rare and challenging neonatal condition.
- Effective management strategies for this combined anomaly require careful consideration.
Observation:
- A male neonate presented with both high imperforate anus and a large omphalocele.
- This combination poses significant surgical and management difficulties.
Findings:
- The imperforate anus was successfully treated with a primary one-stage posterior sagittal anorectoplasty.
- The large omphalocele was managed effectively through nonoperative treatment.
Implications:
- This case demonstrates a successful combined approach for managing high imperforate anus and large omphalocele.
- Nonoperative management of omphalocele can be a viable option in conjunction with surgical repair of imperforate anus.
Abstract:
Synchronous treatment of high imperforate anus with large omphalocele is a challenge for pediatric surgeon. A case of this unusual condition in a male neonate is presented. The high imperforate anus was repaired by primary one-stage posterior sagittal anorectoplasty, and the omphalocele was treated nonoperatively. Recovery was uneventful.