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High anorectal malformation in a five-month-old boy: a case report
Anand Pandey1, Ajay N Gangopadhyay, Vijayendra Kumar
1Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, UP, India. gangulybhu@rediffmail.com.
Journal of Medical Case Reports
|September 3, 2010
Summary
Delayed presentation of high anorectal malformation is rare in male infants. This case highlights successful primary repair in a five-month-old, demonstrating effective treatment outcomes.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
Background:
- Anorectal malformation is a common congenital defect with varied presentations.
- Most male patients with anorectal malformations are diagnosed within the first few days of life.
Purpose of the Study:
- To report a rare case of delayed presentation of high anorectal malformation in an infant.
- To discuss the successful primary surgical repair of anal atresia with rectourethral prostatic fistula.
Main Methods:
- Case presentation of a five-month-old male infant with anal atresia and rectourethral prostatic fistula.
- Surgical intervention involved primary definitive repair of the anomaly.
- Literature review on anorectal malformations and their management.
Main Results:
- The patient, despite delayed presentation, was in good condition for primary repair.
- Successful primary definitive repair of the anorectal malformation was achieved.
- The case illustrates a rare instance of late diagnosis in a male infant.
Conclusions:
- Delayed presentation of high anorectal malformation is uncommon.
- Timely and appropriate surgical intervention can lead to favorable outcomes even in complex cases.

