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CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e108-e111
DOI: 10.1055/s-0040-1721051
Case Report

Image of the Month: High Pressure Distal Colostogram in a Patient with an Anorectal Malformation

Anisha Apte
1   Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
,
Giulia Brisighelli 
2   Department of Surgery, Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng, South Africa
,
Elise McKenna
3   Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States
,
Marc A. Levitt
1   Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
3   Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States
4   Division of Colorectal and Pelvic Reconstruction Surgery, Children's National Medical Center, Washington, District of Columbia, United States
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Abstract

An adequately performed high pressure distal colostogram is crucial to plan surgery in male patients born with anorectal malformations. We present two male patients that underwent a divided sigmoid colostomy with distal mucus fistula in the neonatal period and at 6 months of age underwent a high pressure distal colostogram. In the discussion, we will give some tricks beyond the known rules: how to correctly interpret a high pressure distal colostogram, how to identify the level of a recto-urinary fistula, and how to accurately plan the surgical approach.

Keywords

high pressure distal colostogram - anorectal malformation - recto-urinary fistula


Publication History

Received: 29 May 2020

Accepted: 18 August 2020

Article published online:
23 November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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