Adult residual rectourethral fistula and diverticulum presenting decades after imperforate anus repair: a case report.
J Med Case Rep
; 15(1): 370, 2021 Jul 15.
Article
de En
| MEDLINE
| ID: mdl-34261520
ABSTRACT
BACKGROUND:
This report describes a rare surgical case of an intraabdominal mass in a middle-aged patient 40 years after imperforate anus repair. CASE PRESENTATION A 44-year-old Latino male with history of repaired anorectal malformation presented with recurrent urinary tract infections and rectal prolapse with bothersome bleeding and fecal incontinence. During his preoperative evaluation, he was initially diagnosed with a prostatic utricle cyst on the basis of magnetic resonance imaging findings, which demonstrated a cystic, thick-walled mass with low signal contents that extended inferiorly to insert into the distal prostatic urethra. However, at the time of surgical resection, the thick-walled structure contained an old, firm fecaloma. The final pathology report described findings consistent with colonic tissue, suggesting a retained remnant of the original fistula and diverticulum.CONCLUSIONS:
Although rare, persistent rectourethral fistula tracts and rectal diverticula after imperforate anus repair can cause symptoms decades later, requiring surgical intervention. This is an important diagnostic consideration for any adult patient with history of imperforate anus.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Imperforation anale
/
Maladies de l'urètre
/
Fistule rectale
/
Fistule urinaire
/
Diverticule
Type d'étude:
Diagnostic_studies
Limites:
Adult
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
J Med Case Rep
Année:
2021
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique