ABSTRACT
Se presenta el caso de un paciente masculino quien requirió tratamiento por agenesia anorrectal con fístula rectouretral y transposición pene-escrotal con hipospadias perineal, acompañados de una masa perineal. La tumoración perineal se encontró íntimamente adherida y en continuidad al recto, lo que la hace compatible con una duplicación rectal extrofiada. La reconstrucción quirúrgica de la anomalía se realizó en etapas hasta lograr resultados funcionales y estéticos aceptables.
We present the case of a male patient who required treaatment due to anorectal agenesis with recto urethral fistula and penoscrotal transposition with perineal hypospadias, associated with a perineal tumor. The perineal tumor was found strongly adhered and contiguous to the rectum which makes it compatible with an exstrophy of rectal duplication. Surgical reconstruction of the birth defect was performed in stages until acceptable biological function and esthetic results were obtained.
Subject(s)
Humans , Infant, Newborn , Male , Abnormalities, Multiple/pathology , Anal Canal/abnormalities , Hypospadias/pathology , Penis/abnormalities , Rectum/abnormalities , Scrotum/abnormalities , Abnormalities, Multiple/surgery , Heart Defects, Congenital/surgery , Hypospadias/etiology , Hypospadias/surgery , Rectal Fistula/congenital , Rectal Fistula/etiology , Rectal Fistula/surgery , Urethral Diseases/congenital , Urethral Diseases/etiology , Urethral Diseases/surgery , Urinary Fistula/congenital , Urinary Fistula/etiology , Urinary Fistula/surgeryABSTRACT
The author presents the salient aspects of anorectal malformation which allow us to simplify their anatomical diagnosis. In many cases only clinical means are used while in others adequate use of technical studies are necessary. This enables us to reach therapeutic decisions in the simplest and most orderly fashion so that patients with these anomalies may be given the opportunity of attaining normal or near normal function