ARM with Rectourethral Fistula..

3D/M Wt -2kg C/o- anal opening absent since birth C/O- fecal metter coming out from the scrotum since birth O/E- GC- avg, afebrile P- 120/min SpO2-98% on room air CNS- active cry+ CVS- S1S2+ Resp- B/L air entry +nt P/A- SOFT, bs+ P/R- anal opening absent Imp- ARM with rectourethral fistul Attachment- •clinical pic •usg abomen and thorax •x-ray invertogram

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Excellent case presentation we must learn a lot from this case Imperforated anus presenting with retrouretheral fistula Needs a good pediatric surgeon trend in proctology to construct anus and closer of fistula. Take help of urologist in team of surgeons. It is team work

Thank you sir.
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good case description n well presented . people should learn from u . how to present a case.

Thank you doctor
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Thank you for sharing.... Refer to Paediatric Surgeon.

Thank you doctor
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Scrotal fecal fistula

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